DERMATOLOGIST MEDICAL GROUP OF NORTH COUNTY, INC (NPI# 1538191077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538191077 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGIST MEDICAL GROUP OF NORTH COUNTY, INC |
| Practice Address |
3613 Vista Way Oceanside CA 92056-4522 |
| Practice Telephone | 7607585340 |
| Practice Fax Number | 7607585502 |
| Mailing Telephone | 7607585340 |
| Mailing Fax Number | 7607585502 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-09-07 |
| Authorized Official Name | SHERRY ROTUNDA (VICE PRESIDENT) |
| Authorized Official Telephone | 7607585340 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
3613 VISTA WAY |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1154355097 | Sherry Lynn Rotunda | Dermatology | 3613 Vista Way, Oceanside, CA 92056 | 2006-07-10 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92056 | ||||
| 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 |
|---|---|---|---|---|
| 1881631711 | Dermatology Specialists Inc | Dermatology | 3629 Vista Way, Oceanside, CA 92056-4522 | 2006-05-31 |
| 1750360491 | Tasha Manternach | Dermatology | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2006-01-11 |
| 1538167242 | Russell W Cohen | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2005-07-07 |
| 1710374889 | Alina Goldenberg | Dermatology | 3613 Vista Way, Oceanside, CA 92056 | 2015-04-16 |
| 1871988147 | Kunal Angra | Dermatology | 3629 Vista Way, Oceanside, CA 92056-4522 | 2015-04-02 |
| 1528485448 | Sean Chen | Dermatology | 3629 Vista Way, Oceanside, CA 92056-4522 | 2014-03-28 |
| 1245663228 | Jessica Y Kim | Dermatology | 3629 Vista Way, Oceanside, CA 92056-4522 | 2013-08-14 |
| 1700140738 | Andrew Louis Ross | Dermatology | 3629 Vista Way, Oceanside, CA 92056-4522 | 2012-06-25 |
| 1689961468 | Melissa Pam Sirichotiratana | Dermatology | 3629 Vista Way, Oceanside, CA 92056-4522 | 2011-06-30 |
| 1417273988 | Elie B Lowenstein | Dermatology | 258 Merrick Rd, Oceanside, NY 11572-1427 | 2010-04-08 |
| Find all providers in OCEANSIDE | ||||
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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.