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).
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 |
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 |
Street Address |
477 N EL CAMINO REAL SUITE# C312 |
City | ENCINITAS |
State | CA |
Zip Code | 92024-1328 |
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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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 |
Find all providers in zip 92024 |
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 |
---|---|---|---|---|
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 |
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.