Individual provider Active NPI

Joseph A Samady, M.D.

  • Dermatology Physician
  • Oceanside, CA
National Provider Identifier
1013954908
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A71411 Issued in CA
Practice address
3629 Vista Way
Oceanside, CA 92056-4522
Phone
(760) 828-9200
Fax
(760) 828-9141
NPI assigned
Jun 1, 2006
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A71411 CA Primary

Addresses

Primary practice location

3629 Vista Way
Oceanside, CA 92056-4522

Mailing address

3629 Vista Way
Oceanside, CA 92056-4522
Phone (760) 828-9200

Other practice location 1

4765 Carmel Mountain Rd Ste 201
San Diego, CA 92130-6657
Phone (858) 369-7546

Other practice location 2

1309 S Mission Rd Ste A
Fallbrook, CA 92028-4168
Phone (760) 728-7546

Other identifiers 1

IdentifierTypeStateIssuer
070015116OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060606000191 CA Practitioner - Dermatology 9739190802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists IncGroup PAC ID 2769380989, 14 clinicians

Practice addresses (Care Compare)

1309 S Mission Rd a
Fallbrook, CA 92028-4168
Phone (760) 728-7546

Merit-based Incentive Payment System (MIPS)

Final score
93.18 of 100Reported as group
Quality
86.36
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions2063
Removal or shaving of skin growth1-10
Skin biopsy437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A71411CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Dermatology Specialists Inc Dermatology CurrentSince Jul 17, 2000 Accepting new patients
Dermatology Specialists Ins Dermatology PastSince Jul 17, 2000 Accepting new patients

Locations

25495 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 304-7546

3629 Vista Way
Oceanside, CA 92056
Phone (760) 757-7546

4765 Carmel Mountain Rd
Ste 201
San Diego, CA 92130
Phone (858) 259-3223

530 Lomas Santa Fe Dr
Solana Beach, CA 92075
Phone (619) 724-7171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jsamady81557@scrippshlth.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1013954908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-828-9200",
            "fax_number": "760-828-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-828-9200",
            "fax_number": "760-828-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4765 Carmel Mountain Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921306657",
            "country_code": "US",
            "telephone_number": "858-369-7546",
            "fax_number": "858-369-7547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1309 S Mission Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "920284168",
            "country_code": "US",
            "telephone_number": "760-728-7546",
            "fax_number": "760-723-6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMADY",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A71411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070015116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.