Organization Active NPI

Joseph del Priore, DO, Apc

Doing business as Del Priore Dermatology

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1063006849
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JOSEPH DEL PRIORE, DO, APC
Doing business as
Del Priore Dermatology
Practice address
3737 Moraga Ave Ste B412
San Diego, CA 92117-5363
Phone
(858) 292-0204
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Joseph Del Priore, DONPI 1932372562
Title
Dermatologist
Phone
(908) 399-1764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3737 Moraga Ave Ste B412
San Diego, CA 92117-5363

Mailing address

1614 Pleasant Way
Pasadena, CA 91105-2141
Phone (908) 399-1764

Other names 1

  • Del Priore Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719001313 CA Part B Supplier - Clinic/Group Practice 8628470317 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2231225Joseph del Priore DO, Apc3737 Moraga Ave Ste B412, San Diego, CA 92117ComplianceMar 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1063006849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 PLEASANT WAY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052141",
            "telephone_number": "908-399-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175363",
            "telephone_number": "858-292-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DEL PRIORE, DO, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "DEL PRIORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "908-399-1764",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Priore Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.