NATURAL IMAGE COSMETIC SURGERY AND LASER DERMATOLOGY CENTER
NPI 1467579995
Dermatology - MOHS-Micrographic Surgery in Laguna Niguel, CA

NPI Status: Active since March 22, 2007

Contact Information

25500 RANCHO NIGUEL RD
SUITE 290
LAGUNA NIGUEL, CA
ZIP 92677
Phone: (949) 448-0487

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery
  • CLIA Number: 05D0968423
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-11-2025

About NATURAL IMAGE COSMETIC SURGERY AND LASER DERMATOLOGY CENTER

This page provides the complete NPI Profile along with additional information for Natural Image Cosmetic Surgery And Laser Dermatology Center, a provider established in Laguna Niguel, California operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1467579995 assigned on March 2007. The practitioner's primary taxonomy code is 207ND0101X with license number F631919 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Natural Image Cosmetic Surgery And Laser Dermatology Center. The authorized official of this NPI record is Lenore Sikorski (Medical Director)

NPI
1467579995
Provider Legal Name
LENORE SIKORSKI, M.D., INC.
Other Organization Name
NATURAL IMAGE COSMETIC SURGERY AND LASER DERMATOLOGY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
25500 RANCHO NIGUEL RD SUITE 290 LAGUNA NIGUEL, CA 92677
Location Phone
(949) 448-0487
Mailing Address
25500 RANCHO NIGUEL RD STE 290 LAGUNA NIGUEL, CA 92677
Mailing Phone
(949) 488-0487
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
License No.
F631919
License State
CA
Taxonomy Description
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LENORE SIKORSKI

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(949) 488-0487

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0968423
Facility Type
Physician Office
Certificate Effective Date
January 12, 2023
Certificate Expiration Date
January 11, 2025
Laboratory Director
LENORE M. SIKORSKI MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Natural Image Cosmetic Surgery And Laser Dermatology Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467579995
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412710718918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 0 + 7 + 1 + 8 + 9 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1467579995 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821198854DR. LAURA IMMEL SPRAGUE DDS
Individual
Dentist25500 RANCHO NIGUEL RD SUITE #130
LAGUNA NIGUEL, CA 92677
(949) 425-0005
1801912274 NORMAN COAKLEY D.O.
Individual
Family Medicine25500 RANCHO NIGUEL RD STE. 100
LAGUNA NIGUEL, CA 92677
(949) 643-0500
1154541308 FREDERIC TAK-HWA WONG L.AC.
Individual
Acupuncturist25500 RANCHO NIGUEL RD SUITE 160
LAGUNA NIGUEL, CA 92677
(949) 701-7708
1003065491DR. DAMIAN NEWHART
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)25500 RANCHO NIGUEL RD SUITE #210
LAGUNA NIGUEL, CA 92677
(949) 215-0112
1073767828DR. SARAH KATHRYN BELDERES DDS
Individual
Dentist25500 RANCHO NIGUEL RD STE 210
LAGUNA NIGUEL, CA 92677
(949) 215-5500
1720213457DR. CHERYL STAHL D.D.S.
Individual
Dentist25500 RANCHO NIGUEL RD
LAGUNA NIGUEL, CA 92677
(949) 305-2203
1649575770DR. BRIAN THOMAS EDWARDS D.D.S.
Individual
Dentist (General Practice)25500 RANCHO NIGUEL RD SUITE #210
LAGUNA NIGUEL, CA 92677
(949) 215-0112
1447694260DR. SAHAR DOOSTZADEH D.M.D
Individual
Dentist (Pediatric Dentistry)25500 RANCHO NIGUEL RD SUITE 160
LAGUNA NIGUEL, CA 92677
(949) 831-7790
1174642524MS. TERRI IN OK CHO PA
Individual
Physician Assistant25500 RANCHO NIGUEL RD SUITE 280
LAGUNA NIGUEL, CA 92677
(949) 448-0487
1598767170DR. SONJA STUMME KRAFCIK MD
Individual
Internal Medicine25500 RANCHO NIGUEL RD SUITE 150
LAGUNA NIGUEL, CA 92677
(949) 831-3686
1356637813 CHRISTOPHER MICHAEL DAVIS D.O.
Individual
Family Medicine25500 RANCHO NIGUEL RD SUITE 100
LAGUNA NIGUEL, CA 92677
(949) 643-0500
1134260458TODD C SNYDER DDS A PROFESSIONAL CORPORATION
Organization
Dentist25500 RANCHO NIGUEL RD # 230
LAGUNA NIGUEL, CA 92677
(949) 643-6733
1255764122WAVE IMAGING, LLC
Organization
Clinic/Center (Radiology)25500 RANCHO NIGUEL RD SUITE 140
LAGUNA NIGUEL, CA 92677
(949) 362-3973
1093149197WAVE IMAGING, LLC
Organization
Clinic/Center (Radiology)25500 RANCHO NIGUEL RD SUITE 120
LAGUNA NIGUEL, CA 92677
(949) 362-3973
1831487958MRS. FIONA G ANDERSON NP-C
Individual
Nurse Practitioner (Family)25500 RANCHO NIGUEL RD SUITE 240
LAGUNA NIGUEL, CA 92677
(949) 499-4540
1093258188DR. TODD SNYDER DDS
Individual
Dentist25500 RANCHO NIGUEL RD SUITE 230
LAGUNA NIGUEL, CA 92677
(949) 643-6733
1306942834LAGUNA NIGUEL MRI
Organization
Physiological Laboratory25500 RANCHO NIGUEL RD SUITE 140
LAGUNA NIGUEL, CA 92677
(949) 362-3973

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467579995, enumerated in the NPI registry as an "organization" on March 22, 2007

The provider is located at 25500 Rancho Niguel Rd Suite 290 Laguna Niguel, Ca 92677 and the phone number is (949) 448-0487

This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery

The provider's CLIA number is 05D0968423 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on March 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.