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

Dr. Roland Spurgeon Beverly III, MD

Individual provider Dermatology Physician · NPI 1083687776

Dr. Roland Spurgeon Beverly III, MD is a Dermatology Physician in Aliso Viejo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24541 Pacific Park Dr Ste 103
Aliso Viejo, CA 92656-3065
Phone: (949) 831-3057
Fax: (949) 831-2515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G65658 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence G65658 (CA)

Record details

NPI number1083687776
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 11, 2006
Last updated in NPPESMay 10, 2017

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