Active NPI
On Site Dermatology of California PC
- Dermatology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ON SITE DERMATOLOGY OF CALIFORNIA PC
- Practice address
- 13075 Evening Creek Dr S
San Diego, CA 92128-8101 - Phone
- (877) 345-5300
- Fax
- (561) 989-3665
- NPI assigned
- Jul 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Plotkin, MD
- Title
- Authorized Official
- Phone
- (561) 314-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
13075 Evening Creek Dr S
San Diego, CA 92128-8101
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 314-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3388 Bell Rd
Auburn, CA 95603
Phone (530) 889-8122
8550 Barton Rd
Granite Bay, CA 95746
849 Coast Blvd
La Jolla, CA 92037
Phone (858) 252-2700
960 N Martel Ave
Los Angeles, CA 90046
Phone (323) 251-1426
345 Munroe St
Sacramento, CA 95825
4518 54th St
San Diego, CA 92115
Phone (619) 287-2920
2360 Albatross St
San Diego, CA 92101
Phone (619) 233-8382
18655 W Bernardo Dr
San Diego, CA 92127
Phone (858) 451-9152
1312 15th St
Santa Monica, CA 90404
Phone (310) 393-2260
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- San Diego, CA
- NPI 1710525936
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1144345372
-
- Dermatology Physician
- Lincoln, CA
- NPI 1659352219
-
- Physician Assistant
- China Lake, CA
- NPI 1417208224
-
- Clinical Psychologist
- Venice, CA
- NPI 1245456037
-
- Physical Therapist
- Cardiff by the Sea, CA
- NPI 1528533411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548979200000",
"number": "1154842771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-314-2000",
"fax_number": "561-431-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13075 EVENING CREEK DR S",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921288101",
"telephone_number": "877-345-5300",
"fax_number": "561-989-3665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON SITE DERMATOLOGY OF CALIFORNIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-05",
"last_updated": "2019-02-01",
"status": "A",
"authorized_official_last_name": "PLOTKIN",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "561-314-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"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 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.