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ON SITE DERMATOLOGY OF CALIFORNIA PC
NPI 1154842771
Dermatology in San Diego, CA

Active since July 05, 2017
13075 EVENING CREEK DR S, SAN DIEGO, CA 92128(877) 345-5300(561) 989-3665 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2019, Jul 5, 2017 (2 updates tracked since 2017).

About On Site Dermatology Of California Pc NPPES

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

ON SITE DERMATOLOGY OF CALIFORNIA PC (NPI 1154842771) is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since July 2017. The organization lists Adam Plotkin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1154842771
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameON SITE DERMATOLOGY OF CALIFORNIA PC
Location Address13075 EVENING CREEK DR SSan Diego, CA 92128-8101
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000 · Fax (561) 431-2821
Phone(877) 345-5300
Fax(561) 989-3665
Organization SubpartNo
Authorized OfficialAdam PlotkinAuthorized Official · (561) 314-2000
Enumeration DateJuly 5, 2017
Last NPPES UpdateFebruary 1, 20192 updates tracked since enumeration
✔ NPI 1154842771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
13075 EVENING CREEK DR S, San Diego, CA 92128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

On Site Dermatology Of California Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to On Site Dermatology Of California PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Joan Wu, M.D.
Dermatology
NPI 1144345372
100 UCLA MEDICAL PLZ SUITE 730
Los Angeles, CA 90024
(310) 209-1440
✔ PECOS✔ Accepts Medicare109 mi
Derrick Adams, D.O.
Dermatology
NPI 1659352219
2295 FIELDSTONE DRIVE SUITE 150
Lincoln, CA 95648
(530) 527-0414
✔ PECOS✔ Accepts Medicare469 mi
Animesh Sinha, M.D
Dermatology
NPI 1285733014
10 UNION SQ E SUITE 3C
New York, NY 10003
(212) 844-8800
✔ PECOS2,423 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 On Site Dermatology Of California PC's NPI number?

The NPI number for On Site Dermatology Of California PC is 1154842771. It was assigned to this organization in the NPPES registry on July 5, 2017.

Where is On Site Dermatology Of California PC located?

On Site Dermatology Of California PC is located at 13075 Evening Creek Dr S, San Diego, CA 92128. The listed phone number is (877) 345-5300.

What is On Site Dermatology Of California PC's specialty?

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

Is On Site Dermatology Of California PC enrolled in Medicare?

Yes. On Site Dermatology Of California PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through On Site Dermatology Of California PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to On Site Dermatology Of California PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for On Site Dermatology Of California PC was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.