Precision Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A96572 Issued in CA

Legal business name

PRECISION DERMATOLOGY, INC.

Practice address

2100 Webster St
Suite 305
San Francisco, CA 94115-2373

Phone

(415) 202-1540

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tracy B. Evans, M.D.NPI 1548427875

Title

President

Phone

(415) 202-1540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Precision Dermatology, Inc.

  • Dermatology Physician
  • Sebastopol, CA
  • NPI 1407198005
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Bialy Evans, M.D

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1548427875
  Medicare reassignment Care Compare group NPD Authorized official
• Cristian Daniel Gonzalez, M.D.

  • Dermatology Physician
  • Norwood, MA
  • NPI 1699201988

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1043551070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-202-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 305",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-202-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-202-1540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A96572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Preciado-Rodriguez, CCC-SLP
• Aracely Preciado, MSW
• Elizabeth Preciado
• Precision 888 Transport Services
• Precision Cancer Specialists Medical Group, Inc.
• Precision Healthcare Associates, LLC
• Precision Lifestyle Medicine Institute
• Michael Prehn
• Lily Prekaski, PT, DPT, CSCS
• Premier Dermatology a Medical Corporation

• Dermatology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.