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DEL MAR MED A MEDICAL CORPORATION
NPI 1306938386
Dermatology - MOHS-Micrographic Surgery in San Diego, CA

Active since September 28, 2006
12395 EL CAMINO REAL STE 200, SAN DIEGO, CA 92130(858) 755-6647 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Del Mar Med A Medical Corporation NPPES

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

DEL MAR MED A MEDICAL CORPORATION (NPI 1306938386) is a healthcare organization registered as a mohs-micrographic surgery in San Diego, California and active in the NPI registry since September 2006. The organization lists Jeffrey Eaton, Md President, as its authorized official.

NPPES Registry Identity

NPI1306938386
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDEL MAR MED A MEDICAL CORPORATION
Location Address12395 EL CAMINO REAL STE 200San Diego, CA 92130-3083
Mailing Address12395 El Camino Real Ste 200San Diego, CA 92130-3083 · (858) 755-6647
Phone(858) 755-6647
Organization SubpartNo
Authorized OfficialJeffrey EatonMd President · (858) 755-6647
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 8, 2008
✔ NPI 1306938386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
12395 EL CAMINO REAL STE 200, San Diego, CA 92130
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Other Identifiers 1

Medicare PINW20462CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1065292

Del Mar M E D · San Diego, CA
Expired · Jul 31, 2026
CLIA Number05D1065292
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Dina R. Massry MD
Laboratory Phone(858) 755-6647
Laboratory LocationDel Mar M E D12395 El Camino Real, Ste 200, San Diego, CA 92130
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Del Mar Med A Medical Corporation's NPI number?

The NPI number for Del Mar Med A Medical Corporation is 1306938386. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Del Mar Med A Medical Corporation located?

Del Mar Med A Medical Corporation is located at 12395 El Camino Real Ste 200, San Diego, CA 92130. The listed phone number is (858) 755-6647.

What is Del Mar Med A Medical Corporation's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Del Mar Med A Medical Corporation was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.