Active NPI
Eric S. Gerstenfeld, M.D.
- Dermatology Physician
- San Diego, CA
National Provider Identifier
1114979754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G70325
- Practice address
- 15004 Innovation Dr.
San Diego, CA 92128-3409 - Phone
- (858) 605-7808
- Fax
- (858) 605-7333
- NPI assigned
- May 16, 2006
- Sex
- Male
- 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 | G70325 | CA | |
| Dermatology Physician | 207N00000X | G70325 | CA | Primary |
Addresses
Primary practice location
15004 Innovation Dr.
San Diego, CA 92128-3409
Mailing address
10790 Rancho Bernardo Rd.
2ND FL.
San Diego, CA 92127-5705
Phone (858) 605-7808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 66.02 of 100
- Quality
- 30.62
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 72.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70325 | CA | MD | Marriage & Family Therapist |
| G70325 | CA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10790 Rancho Bernardo Rd
Fl 2
San Diego, CA 92127
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- egerstenfeld22831@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
-
- Multi-Specialty Clinic/Center
- Highland, CA
- NPI 1053653873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1114979754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD.",
"address_2": "2ND FL.",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-605-7808",
"fax_number": "858-605-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15004 INNOVATION DR.",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283409",
"telephone_number": "858-605-7808",
"fax_number": "858-605-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSTENFELD",
"first_name": "ERIC",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "G70325",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G70325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.