DR. BRIAN SOMOANO (M.D.) – Dermatology Physician, NPI 1245422658

DR. BRIAN SOMOANO (M.D.) is a healthcare provider. based in Fullerton, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. A97409 (CA). The NPI Number for DR. BRIAN SOMOANO (M.D.) is 1245422658

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN SOMOANO (M.D.)
NPI
1245422658
Phone
(714) 626-8610
Address
2141 N HARBOR BLVD
Enumeration Date
10 August 2007
Last Update Date
25 April 2013

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
7144567004
Graduation Year
2005 (21 years ago)
PAC ID
8729272315
Group Practice PAC ID
7113920992
Professional Enrollment ID
I20101027001071
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,141 DERMATOLOGY in CA

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Provider Addresses for DR. BRIAN SOMOANO (M.D.)

  • 2141, North Harbor Boulevard, Fullerton, Orange County, California, 92835, United States

    SUITE 25000

    FULLERTON, CA 928353827

    Phone: (714) 626-8610

    Fax: (714) 626-8655

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101027001071IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92835)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113920992View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YMD
D E R M A T O L O G YRI
Physician AssistantCA
D E R M A T O L O G YMA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

Is there an official ID for DR. BRIAN SOMOANO (M.D.) in U.S. healthcare records?
The official identifier for DR. BRIAN SOMOANO (M.D.) is NPI 1245422658.
Would DR. BRIAN SOMOANO (M.D.) appear as active to a payer?
You can treat DR. BRIAN SOMOANO (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. BRIAN SOMOANO (M.D.)'s focus?
For DR. BRIAN SOMOANO (M.D.), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BRIAN SOMOANO (M.D.)?
Travel planning: use Fullerton, California as the reference point for DR. BRIAN SOMOANO (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. BRIAN SOMOANO (M.D.) is noted as August 10, 2007 where the registry provides it.

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