Orlando Dermatology Clinic LLC
NPI 1821699232ActiveOrganization· Dermatology· Fullerton, CA
Dermatology in Fullerton, California, registered in NPPES in November 2020. The authorized official on file is Tarek S. Shaath, MD, Owner.
Overview
| NPI | 1821699232 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2020 |
| Last updated in NPPES | Aug 26, 2022 |
| Certified by provider | Aug 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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