TCR MEDICAL CORPORATION
NPI 1902273386
Dermatology in San Diego, CA

Active since September 01, 2015CLIA 05D0971834 · Certificate of Compliance
9025 BALBOA AVE, SUITE 105, SAN DIEGO, CA 92123(858) 571-6800 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tcr Medical Corporation NPPES

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

TCR MEDICAL CORPORATION (NPI 1902273386) is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since September 2015. The organization holds a CLIA Certificate of Compliance certificate valid through February 9, 2028 and lists Daniel J. Piacquadio, President, as its authorized official.

NPPES Registry Identity

NPI1902273386
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTCR MEDICAL CORPORATION
Location Address9025 BALBOA AVE, SUITE 105San Diego, CA 92123-1520
Mailing Address9025 Balboa Ave, Suite 105San Diego, CA 92123-1520 · (858) 571-6800
Organization SubpartNo
Authorized OfficialDaniel J. PiacquadioPresident · (858) 571-6800
Enumeration DateSeptember 1, 2015
✔ NPI 1902273386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G57303
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.
9025 BALBOA AVE, San Diego, CA 92123

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)

Tcr Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tcr Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1255349288
9025 BALBOA AVENUE SUITE 105
San Diego, CA 92123
(858) 571-6800
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1770550162
9025 BALBOA AVE SUITE 105
San Diego, CA 92123
(858) 571-6800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1275557415
1926 VISTA CTR STE A
Vista, CA 92081
(760) 940-7000
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0971834

Tcr Medical Corporation · San Diego, CA
Active · expires Feb 9, 2028
CLIA Number05D0971834
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorNeal D. Bhatia MD
Laboratory Phone(858) 571-6800
Laboratory LocationTcr Medical Corporation9025 Balboa Ave, Ste 105, San Diego, CA 92123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Tcr Medical Corporation's NPI number?

The NPI number for Tcr Medical Corporation is 1902273386. It was assigned to this organization in the NPPES registry on September 1, 2015.

Where is Tcr Medical Corporation located?

Tcr Medical Corporation is located at 9025 Balboa Ave Suite 105, San Diego, CA 92123. The listed phone number is (858) 571-6800.

What is Tcr Medical Corporation's specialty?

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

Is Tcr Medical Corporation enrolled in Medicare?

Yes. Tcr Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tcr Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Tcr Medical Corporation, in Dermatology and Family Practice. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tcr Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0971834) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tcr Medical Corporation was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.