SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC.
NPI 1447334396
Dermatology in San Diego, CA

Active since October 25, 2006
6367 ALVARADO CT, SUITE 107, SAN DIEGO, CA 92120(619) 287-1882(619) 287-4121 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Diego Dermatology And Cosmetic Surgery Medical Group, Inc. NPPES

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

SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC. (NPI 1447334396) is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since October 2006. The organization lists Fred F Shahan, President, as its authorized official.

NPPES Registry Identity

NPI1447334396
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC.
Location Address6367 ALVARADO CT, SUITE 107San Diego, CA 92120-4904
Mailing Address6367 Alvarado Ct, Suite 107San Diego, CA 92120-4904 · (619) 287-1882 · Fax (619) 287-4121
Fax(619) 287-4121
Organization SubpartNo
Authorized OfficialFred F ShahanPresident · (619) 287-1882
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 26, 2012
NPI 1447334396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G83901
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.
6367 ALVARADO CT, San Diego, CA 92120

Other Identifiers 5

Medicare UPING19221CA
Medicare PINW15141BCA
Medicare PINW15141CCA
Medicare PINW15141CA
Medicare PINW15141ACA

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 14

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

Plastic Surgery (Surgery of the Hand)
6367 ALVARADO CT, #104
SAN DIEGO, CA 92120
Nurse Practitioner (Family)
6367 ALVARADO CT
SAN DIEGO, CA 92120
Audiologist-Hearing Aid Fitter
6367 ALVARADO CT, SUITE 101
SAN DIEGO, CA 92120
Physician Assistant (Medical)
6367 ALVARADO CT, SUITE 200
SAN DIEGO, CA 92120
Pharmacy (Community/Retail Pharmacy)
6367 ALVARADO CT, STE 109
SAN DIEGO, CA 92120
Physical Therapist
6367 ALVARADO CT, SUITE 201
SAN DIEGO, CA 92120
Dermatology
6367 ALVARADO CT, SUITE107
SAN DIEGO, CA 92120
Pharmacist
6367 ALVARADO CT, SUITE 109
SAN DIEGO, CA 92120

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 San Diego Dermatology And Cosmetic Surgery Medical Group, Inc.'s NPI number?

The NPI number for San Diego Dermatology And Cosmetic Surgery Medical Group, Inc. is 1447334396. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is San Diego Dermatology And Cosmetic Surgery Medical Group, Inc. located?

San Diego Dermatology And Cosmetic Surgery Medical Group, Inc. is located at 6367 Alvarado Ct Suite 107, San Diego, CA 92120. The listed phone number is (619) 287-1882.

What is San Diego Dermatology And Cosmetic Surgery Medical Group, Inc.'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 San Diego Dermatology And Cosmetic Surgery Medical Group, Inc. was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.