Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SEAVER SOON MD INC
NPI 1609361740
Dermatology in San Diego, CA

Active since June 29, 2018
3737 4TH AVE, SAN DIEGO, CA 92103(619) 299-0700(619) 299-0772 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Jun 29, 2018 (2 updates tracked since 2018).

About Seaver Soon Md Inc NPPES

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

SEAVER SOON MD INC (NPI 1609361740), doing business as The Skin Clinic Md, is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since June 2018. The organization lists Seaver Lee Soon, President, as its authorized official.

NPPES Registry Identity

NPI1609361740
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSEAVER SOON MD INC
Location Address3737 4TH AVESan Diego, CA 92103-4202
Mailing Address3737 4th AveSan Diego, CA 92103-4202 · (619) 299-0700 · Fax (619) 299-0772
Fax(619) 299-0772
Organization SubpartNo
Authorized OfficialSeaver Lee SoonPresident · (619) 425-2737
Enumeration DateJune 29, 2018
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1609361740 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.
3737 4TH AVE, San Diego, CA 92103

Other Names 2

Doing Business AsThe Skin Clinic Md
Former Legal Business NameSeaver Soon Md Inc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seaver Soon Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Seaver Soon MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1659301455
3737 4TH AVE
San Diego, CA 92103
(619) 299-0700
✔ PECOS✔ Accepts MedicareSame address

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 Seaver Soon MD Inc's NPI number?

The NPI number for Seaver Soon MD Inc is 1609361740. It was assigned to this organization in the NPPES registry on June 29, 2018. The provider is doing business as The Skin Clinic MD.

Where is Seaver Soon MD Inc located?

Seaver Soon MD Inc is located at 3737 4th Ave, San Diego, CA 92103. The listed phone number is (619) 299-0700.

What is Seaver Soon MD Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Seaver Soon MD Inc enrolled in Medicare?

Yes. Seaver Soon MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seaver Soon MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Seaver Soon MD Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Seaver Soon MD Inc was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.