Fred Farhad Shahan (NPI# 1811913221, PAC ID# 6507758927) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1811913221 |
| PAC ID by PECOS | 6507758927 |
| Professional Enrollment ID | I20040329001058 |
| Full Name | Fred Farhad Shahan |
| Organization Legal Name | SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC. |
| Address |
320 Santa Fe Dr Suite 303 Encinitas CA 92024-5140 |
| Phone Number | 7609948080 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2163472879 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1334 N Imperial Ave, El Centro, CA 92243-1313 | 7603378500 | ANTHONY HUYNH MEDICAL GROUP,INC |
| 320 Santa Fe Dr, Suite 303, Encinitas, CA 92024-5140 | 7609948080 | SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC. |
| 6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4914 | 6192871822 | SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 99% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 99% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 99% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 74% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 74% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 74% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% |
| Organization Legal Name | SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan R Kojima | Physician Assistant | San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. | 6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4914 |
| Daniel J Marnell | Dermatology | San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. | 6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4914 |
| Berna B Moore | Physician Assistant | San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. | 6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4914 |
| Street Address |
320 SANTA FE DR SUITE 303 |
| City | ENCINITAS |
| State | CA |
| Zip | 92024-5140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Hong | Cardiovascular Disease (cardiology) | San Diego Cardiovascular Associates Medical Group Inc | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5179 |
| Saad M Juma | Urology | Genesis Healthcare Partners PC | 320 Santa Fe Dr, Suite 108, Encinitas, CA 92024-5141 |
| Batyrjan Bulibek | Cardiovascular Disease (cardiology) | San Diego Cardiovascular Associates Medical Group Inc | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5179 |
| Samir S Makani | Pulmonary Disease | Scott A Eisman Md Inc | 320 Santa Fe Dr, Suite 107c, Encinitas, CA 92024-5138 |
| Sheri Tran | Internal Medicine | Scott A Eisman Md Inc | 320 Santa Fe Dr, Suite 107c, Encinitas, CA 92024-5138 |
| Lawrence D Eisenhauer | Obstetrics/gynecology | 320 Santa Fe Dr, Ll4, Encinitas, CA 92024-5100 | |
| Timothy J Corbin | Internal Medicine | Enlightened Healthcare Alliance Medical Corporation | 320 Santa Fe Dr, Suite 107 B, Encinitas, CA 92024-5138 |
| Roy T Avalos | Cardiovascular Disease (cardiology) | San Diego Cardiovascular Associates Medical Group Inc | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5179 |
| Maria A Campbell | Nurse Practitioner | San Diego Cardiovascular Associates Medical Group Inc | 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024-5179 |
| Sunil Rayan | Vascular Surgery | 320 Santa Fe Dr, Suite 212, Encinitas, CA 92024-5139 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Brunst | General Practice | 477 N Camino Real, Suite 200, Encinitas, CA 92024 | |
| Gourab Das | Physician Assistant | Robert F Brunst Md Phd Inc | 477 N Camino Real, Encinitas, CA 92024 |
| Glenn B Frieder | Chiropractic | 1816 B Eucalyptus Ave, Encinitas, CA 92024-1106 | |
| Joanna R Louis | Psychiatry | 1853 N Vulcan Ave, Encinitas, CA 92024-1151 | |
| Alberto Bessudo | Hematology/oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Marti Lynn Willey | Nurse Practitioner | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Pushpendu Banerjee | Medical Oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Cortney D Franz | Nurse Practitioner | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Laurie A Frakes | Hematology/oncology | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Jennifer Hope Levine | Physician Assistant | California Cancer Associates for Research and Excellence, Inc.. | 447 N El Camino Real, D200, Encinitas, CA 92024-1302 |
| Find all physicians in zip 92024 | |||
| City | ENCINITAS |
| Zip Code | 92024 |
| Specialty | DERMATOLOGY |
| City + Specialty | ENCINITAS + DERMATOLOGY |
Please comment or provide details below to improve the information on Fred Farhad Shahan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.