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New Wave Dermatology and Laser

NPI 1972302560ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Newport Beach, CA

Dermatology, MOHS-Micrographic Surgery in Newport Beach, California, registered in NPPES in March 2025. The authorized official on file is Bobak Hedayati, MD, Owner Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1972302560
StatusActive
Entity typeOrganization
NPI issuedMar 7, 2025
Last updated in NPPESNov 1, 2025
Certified by providerNov 1, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology, MOHS-Micrographic Surgery Primary207ND0101X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

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