Agape Dermatology PC
NPI 1073152112ActiveOrganization· Dermatology· Huntington Beach, CA
Dermatology in Huntington Beach, California, registered in NPPES in January 2020. The authorized official on file is Teresa Zamary, DO, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073152112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2020 |
| Last updated in NPPES | Jun 13, 2020 |
| Certified by provider | Jun 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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