DR. FARAH C AWADALLA (MD) – Dermatology Physician, NPI 1669608790

DR. FARAH C AWADALLA (MD) is a healthcare provider. based in Laguna beach, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A125067 (CA). The NPI Number for DR. FARAH C AWADALLA (MD) is 1669608790

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. FARAH C AWADALLA (MD)
NPI
1669608790
Phone
(949) 545-6605
Address
31655 Coast Hwy Ste A
Enumeration Date
3 June 2009
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9495456605
Graduation Year
2008 (18 years ago)
PAC ID
5193964583
Group Practice PAC ID
0446685481
Professional Enrollment ID
I20130614000463
Address ID
CA926916408MI27800RDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for DR. FARAH C AWADALLA (MD)

  • 31655 Coast Hwy Ste A

    Laguna Beach, CA 926517019

    Phone: (949) 545-6605

    Fax: (949) 326-7509

    Type: Location

  • 27800 MEDICAL CENTER RD STE 220

    MISSION VIEJO, CA 926916408

    Phone: (949) 545-6605

    Fax: (949) 326-7509

    Type: Mailing

  • Mercer Way, Costa Mesa, Orange County, California, 92663, United States

    SUITE 240

    COSTA MESA, CA 926273797

    Phone: (714) 458-6668

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $848.

Total Amount is formed as General ($848) + Research ($0) + Ownership ($0) = $848.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Merz North America, Inc. ($319).

Total Amount

$848

General + Research + Ownership

Payments

26

Total payment records

General Amount

$848

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20130614000463IDermatologyCATBD
I20180515002760IDermatologyAZTBD
I20181107003657IDermatologyNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks966541$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks579301$0
17003Destruction of precancer skin growth, 2-14 growths57587$0
99213Established patient office or other outpatient visit, 20-29 minutes340174$0
11103Biopsy of related skin growth, each additional growth27891$0
View full utilization report →

Insurance plans in this area (ZIP 92651)

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Provider's Procedures

DR. FARAH C AWADALLA (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet10790
DERMATOLOGYCA17003Destruction of 2-14 skin growths60987

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: 0446685481View full group profile
NameSpecialtyState
Physician AssistantCA
P O D I A T R YCA

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Frequently asked questions

What NPI should I save for DR. FARAH C AWADALLA (MD)?
Save NPI 1669608790 if you need a stable reference for DR. FARAH C AWADALLA (MD).
Is DR. FARAH C AWADALLA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. FARAH C AWADALLA (MD)'s specialty in plain language?
Clinically, the directory lists DR. FARAH C AWADALLA (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. FARAH C AWADALLA (MD)?
We surface Laguna Beach, California for DR. FARAH C AWADALLA (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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