Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Tate Belasco, DO

Individual provider Dermatology Physician · NPI 1578736724

Dr. Kevin Tate Belasco, DO is a Dermatology in Newport Beach, California. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in California, Nevada and Wisconsin.

Years since qualifying
22
Licensed in
CA, NV, WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1501 Superior Ave Ste 115
Newport Beach, CA 92663-3606
Phone: (949) 640-7546
Fax: (949) 640-7547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20A12076 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 51343021 (WI)
Dermatology Physician Taxonomy 207N00000X · Licence DO1741 (NV)

Record details

NPI number1578736724
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2008
Last updated in NPPESMarch 7, 2023
Mailing address1501 Superior Ave Ste 115, Newport Beach, CA 92663-3606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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