SHARON JACOB-SOO MD
NPI 1053349688
Dermatology in San Diego, CA

Active since June 30, 2006
3860 CALLE FORTUNADA, STE #210, SAN DIEGO, CA 92123(858) 309-6303(858) 309-6301 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sharon Jacob-soo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARON JACOB-SOO MD (NPI 1053349688) is an individual dermatology provider in San Diego, California, licensed in California (A100287) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1053349688
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHARON JACOB-SOOCredential: MD
Location Address3860 CALLE FORTUNADA, STE #210San Diego, CA 92123-4802
Mailing Address3860 Calle Fortunada, Ste #210San Diego, CA 92123-4802 · (858) 309-6303 · Fax (858) 309-6301
Fax(858) 309-6301
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 25, 2011
NPI 1053349688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in CA · A100287 Licensed in FL · ME89945
Definition
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.
3860 CALLE FORTUNADA, San Diego, CA 92123

Other Identifiers 3

Medicare ID-Type Unspecified48570FL
Medicare UPINI16287FL
Medicaid2704986-00FL

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Pediatrics
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Pediatrics
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 210
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123
Pediatrics (Adolescent Medicine)
3860 CALLE FORTUNADA, STE 200
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharon Jacob-soo's NPI number?

The NPI number for Sharon Jacob-soo is 1053349688. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Sharon Jacob-soo located?

Sharon Jacob-soo practices at 3860 Calle Fortunada Ste #210, San Diego, CA 92123. The listed phone number is (858) 309-6303.

What is Sharon Jacob-soo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Sharon Jacob-soo was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.