DR. KEVIN TATE BELASCO


Address: 1501 Superior Ave Ste 115, Newport Beach, CA 92663-3606
Phone: 9496407546

DR. KEVIN TATE BELASCO (NPI# 1578736724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578736724
Entity Type Individual
Full Name DR. KEVIN TATE BELASCO
Credential D.O.
Practice Address 1501 Superior Ave Ste 115
Newport Beach
CA 92663-3606
Practice Telephone 9496407546
Practice Fax Number 9496407547
Mailing Telephone 9496407546
Mailing Fax Number 9496407547
Enumeration Date 2008-04-09
Last Update Date 2016-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology DO1741 NV Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology 20A12076 CA Allopathic & Osteopathic Physicians
N 207N00000X Dermatology 51343021 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI STATE LICENSE 51343-021 01
WI DEA FB0753029 01
WI RAILROAD MEDICARE P00690402 01
WI 1578736724 05
WI MEDICARE 001417140 01

Office Location

Street Address 1501 SUPERIOR AVE STE 115
City NEWPORT BEACH
State CA
Zip Code 92663-3606

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851905483 Oasis Anesthesia, Surgical and Medical Group, Inc Anesthesiology 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 2020-09-01
1699232801 Megan Gregor Surgery One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 2019-02-24
1831621382 Narges Maududi Social Worker 1965 Sherrington Place, K111, Newport Beach, CA 92663 2017-04-03
1225495153 Mitchelle Giorgi Physical Therapist 351 Hospital Road, Suite 007, Newport Beach, CA 92663 2016-01-22
1043620057 Leslie Mccormack Speech-Language Pathologist 270 Cagney Lane #101, Newport Beach, CA 92663 2014-04-29
1265867162 Hotel California By The Sea, LLC Substance Abuse Rehabilitation Facility 4504 Seashore Drive, Newport Beach, CA 92663 2013-09-10
1538504733 Shawn Zardouz Psychiatry & Neurology 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 2013-05-02
1326330119 Denise Fortenberry Fortenberry-gratias Nurse Practitioner 520 Superior Ave, Suite 350, Newport Beach, CA 92663 2011-05-11
1043500390 Romit Kumar Kar Pediatrics 355 Placentia Ave Ste 301, Newport Beach, CA 92663 2011-04-07
1477858546 Newport Neurohospitalists Neurological Surgery 510 Superior Ave Ste 280, Newport Beach, CA 92663 2011-01-20
Find all providers in zip 92663

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275144024 Lumins Aesthetic and Wellness, Inc Dermatology 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 2020-08-14
1588917934 Michael Patrick O'brien Dermatology 623 Via Lido Nord, Newport Beach, CA 92663-5549 2012-10-23
1457614919 Donna Tran Dermatology 495 Old Newport Blvd Ste 200, Newport Beach, CA 92663-4204 2012-06-20
1902171341 Dana Lee-anne Ellis Dermatology 400 Newport Center Dr Ste 702, Newport Beach, CA 92660-7669 2012-03-19
1417228644 Monica Bonakdar Dermatology 20321 Irvine Ave Ste F3, Newport Beach, CA 92660-0269 2012-01-19
1447531017 Samreen Choudhry Dermatology 1617 Westcliff Dr Ste 214, Newport Beach, CA 92660 2011-09-08
1679769954 Zenovia Hatziris Gabriel Dermatology 359 San Miguel Dr Ste 300, Newport Beach, CA 92660-7809 2007-09-19
1336278720 Kay Keeyeul Sung Dermatology 1525 Superior Ave Ste 210, Newport Beach, CA 92663-3656 2007-03-03
1932283561 Donna Marie West Dermatology 5140 Birch St, Ste #100, Newport Beach, CA 92660-2169 2006-10-24
1992891329 Michelle Aszterbaum Dermatology 1441 Avocado Ave Ste 807, Newport Beach, CA 92660-7709 2006-10-05
Find all providers in NEWPORT BEACH

Competitor

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City NEWPORT BEACH
Zip Code 92663

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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