FASTTRACK DERMATOLOGY MD, MEDICAL CORPORATION
NPI 1336006733
Dermatology in San Diego, CA

Active since January 07, 2026
421 BROADWAY # 346, SAN DIEGO, CA 92101(760) 399-6721 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Fasttrack Dermatology Md, Medical Corporation NPPES

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

FASTTRACK DERMATOLOGY MD, MEDICAL CORPORATION (NPI 1336006733) is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since January 2026. The organization lists Courtney Haller, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1336006733
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFASTTRACK DERMATOLOGY MD, MEDICAL CORPORATION
Location Address421 BROADWAY # 346San Diego, CA 92101-5107
Mailing Address421 Broadway Unit 346San Diego, CA 92101-5107
Organization SubpartNo
Authorized OfficialCourtney HallerDermatologist · (858) 943-7903
Enumeration DateJanuary 7, 2026
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
NPI 1336006733 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.
421 BROADWAY # 346, San Diego, CA 92101

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

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 Fasttrack Dermatology MD, Medical Corporation's NPI number?

The NPI number for Fasttrack Dermatology MD, Medical Corporation is 1336006733. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is Fasttrack Dermatology MD, Medical Corporation located?

Fasttrack Dermatology MD, Medical Corporation is located at 421 Broadway # 346, San Diego, CA 92101. The listed phone number is (760) 399-6721.

What is Fasttrack Dermatology MD, Medical Corporation'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 Fasttrack Dermatology MD, Medical Corporation was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.