SHERRY LYNN ROTUNDA (NPI# 1154355097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154355097 |
Entity Type | Individual |
Full Name | SHERRY LYNN ROTUNDA |
Credential | M.D. |
Practice Address |
3613 Vista Way Oceanside CA 92056 |
Practice Telephone | 7607585340 |
Practice Fax Number | 7607585502 |
Mailing Telephone | 7607585340 |
Mailing Fax Number | 7607585502 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2010-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A76499 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3613 VISTA WAY |
City | OCEANSIDE |
State | CA |
Zip Code | 92056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538191077 | Dermatologist Medical Group of North County, Inc | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2006-07-07 |
1710374889 | Alina Goldenberg | Dermatology | 3613 Vista Way, Oceanside, CA 92056 | 2015-04-16 |
1801155775 | Amanda Mcconnell | Physician Assistant | 3613 Vista Way, Oceanside, CA 92056-4522 | 2012-05-11 |
1912266883 | Mitzi Bray | Physician Assistant | 3613 Vista Way, Oceanside, CA 92056-4522 | 2012-05-11 |
1396060513 | Nicole Mau | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2010-03-30 |
1689817983 | Sheila Meena Krishna | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2009-04-16 |
1184846529 | Michelle Jackson | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2007-05-03 |
1952333254 | Steven Mark Leshaw | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2006-07-07 |
1144252388 | Robert Scheinberg | Dermatology | 3613 Vista Way, Oceanside, CA 92056 | 2006-07-07 |
1235161308 | Alice Y Liu | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2006-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
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Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801828058 | Susan Shimomaye | Dermatology | 3998 Vista Way Ste 100, Oceanside, CA 92056-4515 | 2006-07-07 |
1952333254 | Steven Mark Leshaw | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2006-07-07 |
1144252388 | Robert Scheinberg | Dermatology | 3613 Vista Way, Oceanside, CA 92056 | 2006-07-07 |
1275531857 | Michael Cohen | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2005-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
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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.