ACADEMY SKIN PHYSICIANS, INC.
NPI 1447296363
Dermatology - MOHS-Micrographic Surgery in San Diego, CA

Q: What is Academy Skin Physicians, Inc.'s NPI number?

The NPI number for Academy Skin Physicians, Inc. is 1447296363. It was assigned to this organization in the NPPES registry on June 20, 2006.

Q: What is Academy Skin Physicians, Inc.'s specialty?

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

Active since June 20, 2006

4510 EXECUTIVE DR, SUITE 210, SAN DIEGO, CA 92121(858) 452-1430(858) 452-0651 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Academy Skin Physicians, Inc. NPPES

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

ACADEMY SKIN PHYSICIANS, INC. (NPI 1447296363) is a healthcare organization registered as a mohs-micrographic surgery in San Diego, California and active in the NPI registry since June 2006. The organization lists Alizabeth Lechi Truong, President, as its authorized official.

NPPES Registry Identity

NPI1447296363

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameACADEMY SKIN PHYSICIANS, INC.

Location Address4510 EXECUTIVE DR, SUITE 210San Diego, CA 92121-3021

Mailing Address4510 Executive Dr, Suite 210San Diego, CA 92121-3021 · (858) 452-1430 · Fax (858) 452-0651

Phone(858) 452-1430

Fax(858) 452-0651

Organization SubpartNo

Authorized OfficialAlizabeth Lechi TruongPresident · (858) 452-1430

Enumeration DateJune 20, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1447296363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in CA · A65177

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 · License A68200 (CA)

4510 EXECUTIVE DR, San Diego, CA 92121

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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

Other Providers at the Same Location NPPES 20

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

DR. TODD BENJAMIN PLUTCHOK D.C.

Chiropractor

4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121

San Diego County (858) 452-8888

KHRIZNA CHONG MSN, RN, CNS

Clinical Nurse Specialist (Acute Care)

4510 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (858) 657-7729

MS. SHARON ESTERS-THAMES RN

Registered Nurse

4510 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (858) 450-5000

MISS KERI ANNE O'CONNOR NP

Nurse Practitioner (Family)

4510 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (858) 657-5085

DAVID A LEPAY M.D.

Pathology (Clinical Pathology/Laboratory Medicine)

4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121

San Diego County (858) 550-3850

LISA GUERTIN NP

Nurse Practitioner (Acute Care)

4510 EXECUTIVE DR
SAN DIEGO, CA 92121

San Diego County (800) 926-8273

MANISH V SHETH MD

Psychiatry & Neurology (Psychiatry)

4510 EXECUTIVE DR, SUITE 115
SAN DIEGO, CA 92121

San Diego County (858) 427-5060

DR. CHAD MICHAEL WELLS D.C.

Chiropractor (Sports Physician)

4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121

San Diego County (858) 452-8888

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 Academy Skin Physicians, Inc.'s NPI number?

The NPI number for Academy Skin Physicians, Inc. is 1447296363. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Academy Skin Physicians, Inc. located?

Academy Skin Physicians, Inc. is located at 4510 Executive Dr Suite 210, San Diego, CA 92121. The listed phone number is (858) 452-1430.

What is Academy Skin Physicians, Inc.'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 Academy Skin Physicians, Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.