Individual provider Active NPI

Hadas Skupsky, M.D.

  • Procedural Dermatology Physician
  • Long Beach, CA
National Provider Identifier
1093032658
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A120077 Issued in CA
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

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925002220 CA Practitioner - DermatologyPractitioner - Pathology 3870713837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Dermatopathology IncGroup PAC ID 3577085331, 2 clinicians
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

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 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions766
Removal or shaving of skin growth73
Skin biopsy149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120077CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Dermatopathology, Inc. Dermatopathology CurrentSince Jan 8, 2025 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Jan 31, 2023 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.

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

Verify at the official NPI Registry.