Blue Harbor Dermatology Inc
NPI 1962829457ActiveOrganization· Dermatology· Newport Beach, CA
Dermatology in Newport Beach, California, registered in NPPES in March 2014. The authorized official on file is Kevin Belasco, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962829457 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2014 |
| Last updated in NPPES | Mar 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 20A12076 | CA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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