NORTH COUNTY DERMATOLOGY CENTER GP


Address: 477 N El Camino Real, Suite# C312, Encinitas, CA 92024-1328
Phone: 7605256969

NORTH COUNTY DERMATOLOGY CENTER GP (NPI# 1700264157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700264157
Entity Type Organization
Organization Name NORTH COUNTY DERMATOLOGY CENTER GP
Practice Address 477 N El Camino Real
Suite# C312
Encinitas
CA 92024-1328
Practice Telephone 7605256969
Mailing Telephone 7605256969
Enumeration Date 2015-05-18
Last Update Date 2018-01-22
Authorized Official Name DAVID E THOMAS (PARTNER)
Authorized Official Telephone 7602302805
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 477 N EL CAMINO REAL
SUITE# C312
City ENCINITAS
State CA
Zip Code 92024-1328

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NPI Name Taxonomy Address Enumeration
1770581183 North County Radiation Oncology Specialist 477 N El Camino Real, Ste D100, Encinitas, CA 92024-1328 2005-07-09
1184238933 Epilepsy Rheumatology and Arthritis Specialty Wellness Center PC Psychiatry & Neurology 477 N El Camino Real, Ste C208, Encinitas, CA 92024-1332 2020-08-31
1790253631 Lacy Lofties Nurse Practitioner 477 N El Camino Real, Encinitas, CA 92024-1328 2018-11-08
1194243212 Stephen Andrew Rivera Physician Assistant 477 N El Camino Real, Encinitas, CA 92024-1328 2017-09-08
1922539865 Michael Dennis Hadley Family Medicine 477 N El Camino Real, Encinitas, CA 92024-1328 2017-03-22
1922553908 Shannon D Stadelmann Nurse Practitioner 477 N El Camino Real, Suite 208a, Encinitas, CA 92024-1328 2016-08-19
1174077507 Cortney Franz Nurse Practitioner 477 N El Camino Real, Suite D200, Encinitas, CA 92024-1328 2016-08-15
1306297072 Mary K. Tucker Physician Assistant 477 N El Camino Real, Encinitas, CA 92024 2016-06-23
1093163032 Jennifer Price Physician Assistant 477 N El Camino Real, Suite A202, Encinitas, CA 92024-1328 2016-05-31
1124485784 San Diego Eyelid Specialists, Inc. Ophthalmology 477 N El Camino Real, A304, Encinitas, CA 92024-1328 2016-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326688672 Erika S Roark Nurse Practitioner 754 Bonita Drive, Encinitas, CA 92024 2020-01-14
1871064279 Elana Miller Physical Therapist 285 N El Camino Real Ste 202, Encinitas, CA 92024 2018-12-10
1811478654 Aton Center, Inc. Substance Abuse Rehabilitation Facility 3238 Country Rose Cir, Encinitas, CA 92024 2018-08-28
1124508296 Hardison Medical Corporation Family Medicine 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 2018-08-18
1326544990 Jamin Sarah Sylvada Midwife 1141 Balour Drive, Encinitas, CA 92024 2018-04-03
1457856445 Stephanie Yarnell Optometrist 385 Via Montanosa, Encinitas, CA 92024 2018-03-29
1972002954 J Schaefer Dds Inc Clinic/Center 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 2018-02-06
1538691654 Dr. James C. Lajevic D.m.d. Correct Choice Dental Point of Service 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 2017-03-29
1649720566 Marcia A. Rebelo Social Worker 187 Calle Magdalena Ste 114, Encinitas, CA 92024 2016-10-04
1346698529 Jordan Anne Pinozek Optometrist 1044b N El Camino Real, Encinitas, CA 92024 2016-05-29
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

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/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245252105 Skincare Physicians & Surgeons Inc Dermatology 700 Garden View Court, Suite 100, Encinitas, CA 92024-2478 2006-07-23
1962581074 Ali R Lashgari Md Inc Dermatology 477 N El Camino Real, Suite A300, Encinitas, CA 92024-1352 2006-11-02

Providers in the same taxonomy and state

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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Competitor

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City ENCINITAS
Zip Code 92024

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Dataset Information

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.

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