Active NPI
Hadas Skupsky, M.D.
- Procedural Dermatology Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- A120077
- Practice address
- 3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793 - Phone
- (562) 997-1144
- Fax
- (562) 989-3612
- NPI assigned
- Apr 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | A120077 | CA | Primary |
| Dermatopathology Physician | 207ND0900X | A120077 | CA |
Addresses
Primary practice location
3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793
Mailing address
3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793
Phone (562) 997-1144
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Maryland School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Almond Tree LN
Irvine, CA 92612-2230
2852 Walnut Ave
Suite G
Tustin, CA 92780-7033
Phone (657) 231-2127
3828 Schaufele Ave
Suite 300
Long Beach, CA 90808-1793
Phone (562) 543-0469
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.17 of 100
- Quality
- 74.51
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 82.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 766 |
| Removal or shaving of skin growth | 73 |
| Skin biopsy | 149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120077 | CA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Dermatopathology, Inc. | Dermatopathology | Current | Accepting new patients |
| J Robert West, M.D., Inc | Dermatology | Current | Accepting new patients |
| University Medical Center of Southern Nevada | Past | Accepting new patients | |
| Harris Histology Services LLC | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
1 Technology Dr
Ste C523
Irvine, CA 92618
Phone (714) 537-2395
3828 Schaufele Ave
Ste 300
Long Beach, CA 90808
Phone (562) 997-1144
400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101
1041 E Yorba Linda Blvd
Ste 304
Placentia, CA 92870
Phone (714) 924-7240
2852 Walnut Ave
Ste G
Tustin, CA 92780
Phone (657) 231-2127
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Dermatopathology Physician
- Irvine, CA
- NPI 1457100612
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
-
- Multi-Specialty Clinic/Center
- Highland, CA
- NPI 1053653873
-
- Histology Specialist/Technologist
- Tustin, CA
- NPI 1831579200
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1093032658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3828 SCHAUFELE AVE STE 300",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081793",
"telephone_number": "562-997-1144",
"fax_number": "562-989-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3828 SCHAUFELE AVE STE 300",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081793",
"telephone_number": "562-997-1144",
"fax_number": "562-989-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKUPSKY",
"first_name": "HADAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-22",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "A120077",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "A120077",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.