DERMATOLOGY SPECIALISTS INC (NPI# 1578763876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578763876 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY SPECIALISTS INC |
| Practice Address |
838 Nordahl Rd #250 San Marcos CA 92069-3595 |
| Mailing Address |
3629 Vista Way Oceanside CA 92056-4522 |
| Practice Telephone | 7607387600 |
| Practice Fax Number | 7607387616 |
| Mailing Telephone | 7608289200 |
| Mailing Fax Number | 7608289141 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | JANE LISK (ADMINISTRATOR) |
| Authorized Official Telephone | 7607577546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0029461 | 05 | |
| CA | GROUP NPI | 1881631711 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 1881631711 | Dermatology Specialists Inc | Dermatology | 3629 Vista Way, Oceanside, CA 92056-4522 | 2006-05-31 |
| 1427116680 | Dermatology Specialists Inc | Dermatology | 12105 Bridgeton Square Drive, Bridgeton, MO 63044-2616 | 2006-12-04 |
| Street Address |
838 NORDAHL RD #250 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457414674 | Raul Enrique Escalante | Dentist | 838 Nordahl Rd, Suite 260, San Marcos, CA 92069-3595 | 2006-12-19 |
| 1659768802 | Rashedi Dmd PC | Clinic/Center | 838 Nordahl Rd, Suite 125, San Marcos, CA 92069-3595 | 2015-04-24 |
| 1740526771 | Marjan Rashedi Dmd Inc | Dentist | 838 Nordahl Rd, Suite 145, San Marcos, CA 92069-3595 | 2012-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| 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 |
|---|---|---|---|---|
| 1881755650 | Edward Pena Perez | Dermatology | 1999 Medical Pkwy Ste A, San Marcos, TX 78666-7579 | 2006-12-13 |
| 1124123138 | Ana L. Rodriguez | Dermatology | 1605 Redwood Rd, San Marcos, TX 78666-9734 | 2006-09-14 |
| 1578666509 | Dori N. Rausch-rafii | Dermatology | 400 Craven Rd, San Marcos, CA 92078-4201 | 2006-09-06 |
| 1497704381 | Irene J. Buno-brion | Dermatology | 400 Craven Rd, San Marcos, CA 92078-4201 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
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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.