DR. JEFFREY S. EATON (NPI# 1316913650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316913650 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY S. EATON |
| Credential | M.D. |
| Practice Address |
12395 El Camino Real Suite 200 San Diego CA 92130-3082 |
| Practice Telephone | 8587556647 |
| Mailing Telephone | 8587556647 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A61523 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A615230 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750541066 | Jeffrey Lewis Eaton | Counselor | 619 N 35th St Ste 206, Seattle, WA 98103-8640 | 2008-06-10 |
| 1366646929 | Jeffrey Karl Eaton | Internal Medicine | 1500 Red River, Austin, TX 78701 | 2007-06-14 |
| 1639217599 | Jeffrey Charles Eaton | Chiropractor | 200 8th Ave Nw Ste 5, Faribault, MN 55021-5068 | 2007-02-02 |
| 1700835436 | Jeffrey Allen Eaton | Nurse Practitioner | 57 Portland St, South Berwick, ME 03908-1203 | 2006-05-09 |
| 1831168707 | Jeffrey Lee Eaton | Physical Therapist | 20815 N 25th Pl, Suite 100, Phoenix, AZ 85050-4616 | 2006-03-14 |
| 1811150170 | Jeffrey D Eaton | Dentist | 1501 E Woodfield Rd, Suite 100e, Schaumburg, IL 60173-6052 | 2008-07-08 |
| 1033204870 | Jeffrey Allen Eaton | Physical Therapist | 2045 Holton Rd, Muskegon, MI 49445-1535 | 2006-10-04 |
| 1356304299 | Jeffrey G. Eaton | Internal Medicine | 1850 E Park Ave, Suite 201, State College, PA 16803-6706 | 2006-04-11 |
| Street Address |
12395 EL CAMINO REAL SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457337313 | Scripps Clinic Medical Group | Clinic/Center | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2005-12-21 |
| 1003299892 | Roya Mirkhan,dmd,msd,inc. | Dentist | 12395 El Camino Real, Suite Number 314, San Diego, CA 92130-3082 | 2015-06-30 |
| 1033544408 | Sea Breeze Pediatrics, Apc | Clinic/Center | 12395 El Camino Real, Suite 311, San Diego, CA 92130-3082 | 2013-09-04 |
| 1184922197 | Karen Freeman | Dietitian, Registered | 12395 El Camino Real, Suite 115, San Diego, CA 92130 | 2011-03-01 |
| 1487974101 | San Diego Eye Group, Inc. | Ophthalmology | 12395 El Camino Real, Suite 300, San Diego, CA 92130-3085 | 2010-06-03 |
| 1467778456 | Julia Ann Shrivastava | Family Medicine | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 | 2010-04-15 |
| 1568795185 | Markos N Botros | Dentist | 12395 El Camino Real, Suite 101, San Diego, CA 92130-3082 | 2009-09-14 |
| 1417190448 | Jason R. Lupton, M.d., Inc. | Dermatology | 12395 El Camino Real, Suite 207, San Diego, CA 92130-3082 | 2009-04-07 |
| 1649439563 | Christen Marie Benke | Family Medicine | 12395 El Camino Real, Suite 120, San Diego, CA 92130-3083 | 2008-06-05 |
| 1689860108 | Carmel Valley Pediatrics | Pediatrics | 12395 El Camino Real, Suite 315, San Diego, CA 92130-3082 | 2007-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| 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 |
|---|---|---|---|---|
| 1982803821 | Bayside Dermatology Incorporated | Dermatology | 8174 Regents Rd Apt 303, San Diego, CA 92122-1371 | 2007-07-12 |
| 1649585753 | Jordan Fabrikant | Dermatology | 4060 Fourth Ave Ste 415, West Dermatology & Surgery Medical Group, San Diego, CA 92103-2121 | 2010-08-12 |
| 1316136740 | Dermatology Professionals Incorporated | Dermatology | 10672 Wexford Street, Suite 205, San Diego, CA 92131-3974 | 2007-10-22 |
| 1427176221 | Regents of The University of California- Ucsd Medical Group | Dermatology | 200 West Arbor Dr, Mc8201-ucsd Medical Group, Provider Enrollment Dept., San Diego, CA 92103-1911 | 2007-03-27 |
| 1457323263 | Bruce Feldman | Dermatology | 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-02-06 |
| 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.