GERARD STEPHEN PETRONE (NPI# 1992739973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992739973 |
| Entity Type | Individual |
| Full Name | GERARD STEPHEN PETRONE |
| Credential | MD |
| Practice Address |
6475 Alvarado Rd Ste 222 San Diego CA 92120 |
| Practice Telephone | 6192872877 |
| Practice Fax Number | 6192872121 |
| Mailing Telephone | 6192872877 |
| Mailing Fax Number | 6192872121 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | C29600 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C296000 | 05 |
| Street Address |
6475 ALVARADO RD STE 222 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356312383 | Susan Patricia Munsey | Social Worker | 6475 Alvarado Rd, San Diego, CA 92120-5013 | 2006-01-28 |
| 1750687158 | Emily Louise Thurston | Registered Nurse | 6475 Alvarado Rd, Ste 120, San Diego, CA 92120-5003 | 2011-02-01 |
| 1346572807 | Aimee Marie Yager | Nurse Practitioner | 6475 Alvarado Rd, San Diego, CA 92120-5003 | 2010-02-09 |
| 1922244383 | Joel M. Snyder Md, A Medical Corporation | Pediatrics | 6475 Alvarado Rd, Suite 120, San Diego, CA 92120-5003 | 2009-01-06 |
| 1962619411 | Sarah Eileen Johnson | Physical Therapist | 6475 Alvarado Rd, Suite 118, San Diego, CA 92120-5003 | 2007-05-16 |
| 1124152723 | Patricia Michelle Hornbrook | Marriage & Family Therapist | 6475 Alvarado Rd, Suite #233, San Diego, CA 92120-5003 | 2007-03-15 |
| 1841323458 | Daniel Scott Perry | Dentist | 6475 Alvarado Rd, Suite 205, San Diego, CA 92120-5003 | 2007-03-13 |
| 1427109263 | Colette Mary Wall | Physical Therapist | 6475 Alvarado Rd, 118, San Diego, CA 92120-5003 | 2007-01-16 |
| 1568519114 | Inniss Physical Therapy, A Professional Corporation | Physical Therapist | 6475 Alvarado Rd, #118, San Diego, CA 92120-5003 | 2007-01-05 |
| 1417004243 | Bruce Boswell Inniss | Physical Therapist | 6475 Alvarado Rd, #118, San Diego, CA 92120-5003 | 2007-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| 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 |
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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.