Individual provider Active NPI

Steven Emmet, M.D.

  • Dermatology Physician
  • Solana Beach, CA
National Provider Identifier
1043391246
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G17468 Issued in CA
Practice address
773 Academy Dr
Solana Beach, CA 92075-2031
Phone
(858) 481-8833
Fax
(858) 481-0165
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 G17468 CA Primary

Addresses

Primary practice location

773 Academy Dr
Solana Beach, CA 92075-2031

Mailing address

773 Academy Dr
Solana Beach, CA 92075-2031
Phone (858) 481-8833

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
I20101005001225 CA Practitioner - Dermatology 3476745712 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G17468CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Skin and Eye Institute, Inc. Dermatology CurrentSince Jul 1, 2017 Accepting new patients

Locations

5550 Carmel Mountain Rd
Ste 206
San Diego, CA 92130
Phone (858) 943-2540

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043391246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 ACADEMY DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752031",
            "telephone_number": "858-481-8833",
            "fax_number": "858-481-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 ACADEMY DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752031",
            "telephone_number": "858-481-8833",
            "fax_number": "858-481-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMET",
        "first_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G17468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

Verify at the official NPI Registry.