MISMO DERMATOLOGY GROUP APC
NPI 1306405998
Dermatology in San Diego, CA
About Mismo Dermatology Group Apc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISMO DERMATOLOGY GROUP APC (NPI 1306405998) is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since June 2019. The organization maintains a secondary practice location in Sonora and lists Steve Springe, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mismo Dermatology Group Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Mismo Dermatology Group Apc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Mismo Dermatology Group Apc's NPI number?
The NPI number for Mismo Dermatology Group Apc is 1306405998. It was assigned to this organization in the NPPES registry on June 7, 2019.
Where is Mismo Dermatology Group Apc located?
Mismo Dermatology Group Apc is located at 8898 Navajo Rd Ste C-349, San Diego, CA 92119. The listed phone number is (619) 303-3704.
What is Mismo Dermatology Group Apc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mismo Dermatology Group Apc enrolled in Medicare?
Yes. Mismo Dermatology Group Apc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mismo Dermatology Group Apc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians reassign their Medicare billing to Mismo Dermatology Group Apc, in Dermatology, General Surgery, Hospitalist, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mismo Dermatology Group Apc was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mismo Dermatology Group Apc · NPI 1306405998
Dermatology organization in San Diego, California. Organization record, active in the CMS NPPES registry since June 7, 2019.
## Identity
- **NPI:** 1306405998 (Entity type: Organization)
- **Enumerated:** June 7, 2019
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Steve Springe, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 8898 NAVAJO RD STE C-349, San Diego, CA 92119-2141
- **Phone:** (619) 303-3704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospitalist (2), Internal Medicine (2), Nurse Practitioner (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306405998) · Data from the CMS NPPES public registry.