SKIN SURGERY MEDICAL GROUP INC.
NPI 1659326957
Dermatology in San Diego, CA

Active since May 24, 2006
5222 BALBOA AVE, SIXTH FLOOR, SAN DIEGO, CA 92117(858) 292-5101(858) 292-0514 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skin Surgery Medical Group Inc. NPPES

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

SKIN SURGERY MEDICAL GROUP INC. (NPI 1659326957) is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since May 2006. The organization lists Kenneth Gary Gross, President, as its authorized official.

NPPES Registry Identity

NPI1659326957
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN SURGERY MEDICAL GROUP INC.
Location Address5222 BALBOA AVE, SIXTH FLOORSan Diego, CA 92117-6904
Mailing Address5222 Balboa Ave, Sixth FloorSan Diego, CA 92117-6904 · (858) 292-5101 · Fax (858) 292-0514
Fax(858) 292-0514
Organization SubpartNo
Authorized OfficialKenneth Gary GrossPresident · (858) 292-5101
Enumeration DateMay 24, 2006
Last NPPES UpdateMay 5, 2008
NPI 1659326957 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.
5222 BALBOA AVE, San Diego, CA 92117

Other Identifiers 2

Medicare PINW10324CA
MedicaidGR0069330CA

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

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.

Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
Dermatology
5222 BALBOA AVE, FIFTH FLOOR
SAN DIEGO, CA 92117
Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
Legal Medicine
5222 BALBOA AVE, STE 45
SAN DIEGO, CA 92117
Acupuncturist
5222 BALBOA AVE, SUITE 43
SAN DIEGO, CA 92117
Podiatrist (Foot & Ankle Surgery)
5222 BALBOA AVE, SUITE 52
SAN DIEGO, CA 92117
Pharmacy (Specialty Pharmacy)
5222 BALBOA AVE
SAN DIEGO, CA 92117
Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117

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 Skin Surgery Medical Group Inc.'s NPI number?

The NPI number for Skin Surgery Medical Group Inc. is 1659326957. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Skin Surgery Medical Group Inc. located?

Skin Surgery Medical Group Inc. is located at 5222 Balboa Ave Sixth Floor, San Diego, CA 92117. The listed phone number is (858) 292-5101.

What is Skin 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 Skin Surgery Medical Group Inc. was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.