DERMATOLOGY PROFESSIONALS INCORPORATED (NPI# 1316136740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316136740 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY PROFESSIONALS INCORPORATED |
| Other Organization Name | INSIGHT DERMATOLOGY |
| Practice Address |
10672 Wexford Street Suite 205 San Diego CA 92131-3974 |
| Practice Telephone | 8586933000 |
| Practice Fax Number | 8586933700 |
| Mailing Telephone | 8586933000 |
| Mailing Fax Number | 8586933700 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-11-26 |
| Authorized Official Name | DR. BRYAN CHEN (CEO) |
| Authorized Official Telephone | 8586933000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A79823 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
A79823 | CA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
A79823 | CA | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
A79823 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A79823 | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | A79823 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Insight Dermatology | Doing Business As Name - Organization |
| Street Address |
10672 WEXFORD STREET SUITE 205 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92131-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518919703 | Bryan K Chen | Dermatology | 10672 Wexford Street, Suite 205, San Diego, CA 92131-3974 | 2006-05-16 |
| 1669683058 | Anthony Edwin Hatch | Dentist | 10672 Wexford Street, Suite 220, San Diego, CA 92131 | 2007-05-25 |
| 1629165428 | Abhay Gupta | Plastic Surgery | 10672 Wexford Street, Suite 275, San Diego, CA 92131 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416965 | Susan Cannon | Behavior Technician | 10680 Treena Street Suite 170, San Diego, CA 92131 | 2020-01-14 |
| 1265929442 | Lydia Besterfeldt | Registered Nurse | 9967 Mesa Madera Dr, San Diego, CA 92131 | 2018-04-13 |
| 1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1710439559 | Fred Finch Youth Center Cares | Psychologist | 10174 Old Grove Road, Sutie 100, San Diego, CA 92131 | 2016-10-27 |
| 1346647153 | Neurosound, Inc. | Specialist | 10755 Scripps Poway Parkway, Suite 581, San Diego, CA 92131 | 2014-11-21 |
| 1679985329 | Catherine Margaret Myers | Counselor | 10065 Old Grove Road, Suite 200, San Diego, CA 92131 | 2014-05-29 |
| 1225399512 | Sarah Merrill | Family Medicine | 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131 | 2012-06-03 |
| 1386964997 | Nicole Jacaruso Skinner | Physical Therapist | 10555 Pine Falls Ct, San Diego, CA 92131 | 2010-06-04 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| Find all providers in zip 92131 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 1306405998 | Mismo Dermatology Group Apc | Dermatology | 8898 Navajo Rd Ste C-349, San Diego, CA 92119-2141 | 2019-06-07 |
| 1609361740 | Seaver Soon Md Inc | Dermatology | 2044 W California St, San Diego, CA 92110-2121 | 2018-06-29 |
| 1700240249 | Alexandra Edelman | Dermatology | 3965 5th Ave Ste 200, San Diego, CA 92103-3107 | 2016-04-11 |
| 1033572391 | Lauren Metterle | Dermatology | 3020 Childrens Way # 5092, San Diego, CA 92123-4223 | 2016-04-03 |
| 1225493323 | Jeanette Jacknin | Dermatology | 12634 Carmel Country Rd, Suite 126, San Diego, CA 92130-3197 | 2015-12-16 |
| 1417330432 | Eugene Tachuk | Dermatology | 3740 Rosecrans St Ste C, San Diego, CA 92110-3126 | 2015-07-08 |
| 1508203563 | Monica Boen | Dermatology | 9339 Genesee Ave Ste 350, San Diego, CA 92121-2150 | 2013-05-31 |
| 1619311164 | David Otto Schairer | Dermatology | 8010 Frost St Ste 602, San Diego, CA 92123 | 2013-04-25 |
| 1295037760 | Susan Ann Kincaid | Dermatology | 1951 4th Ave Ste 202, San Diego, CA 92101-2374 | 2010-12-03 |
| Find all providers in SAN DIEGO | ||||
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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.