Active NPI
Barbara Elaine Martin, M.D.
- Dermatology Physician
- San Diego, CA
National Provider Identifier
1093754145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G59728
- Practice address
- 5222 Balboa Ave
Fifth Floor
San Diego, CA 92117-6904 - Phone
- (858) 292-7928
- Fax
- (858) 292-0514
- NPI assigned
- Jun 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G59728 | CA | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | G59728 | CA | |
| Procedural Dermatology Physician | 207NS0135X | G59728 | CA |
Addresses
Primary practice location
5222 Balboa Ave
Fifth Floor
San Diego, CA 92117-6904
Mailing address
5222 Balboa Ave
Fifth Floor
San Diego, CA 92117-6904
Phone (858) 292-7928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G59728 | Other | CA | CA STATE LICENSE |
Other names 1
- Dr. Barbara Elaine Drucker
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040510000985 | CA | Practitioner - Dermatology | 7113916685 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59728 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Santa Cruz Medical Clinic, Inc | Past | Accepting new patients |
Interoperability endpoints
- bmartin@skinsurgerymed.emadirect.md
- bmartin41166@scrippshlth.medalliesdirect.net
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Family Medicine Physician
- Santa Cruz, CA
- NPI 1588775308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1093754145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 BALBOA AVE",
"address_2": "FIFTH FLOOR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176904",
"telephone_number": "858-292-7928",
"fax_number": "858-292-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 BALBOA AVE",
"address_2": "FIFTH FLOOR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176904",
"telephone_number": "858-292-7928",
"fax_number": "858-292-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BARBARA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G59728",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "G59728",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "G59728",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LICENSE",
"identifier": "G59728",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "DRUCKER",
"middle_name": "ELAINE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 May 5, 2008; 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.