Individual provider Active NPI

Elizabeth Kline Satter, MD, MPH, MSC

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1164493151
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A98919 Issued in CA
Practice address
2565 Ingulf Place
San Diego, CA 92110
Phone
(619) 446-1971
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 37672 GA
Dermatology Physician 207N00000X 98919 CA
Dermatopathology Physician 207ND0900X A98919 CA
Dermatopathology Physician 207ND0900X 037672 GA
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X A98919 CA Primary

Addresses

Primary practice location

2565 Ingulf Place
San Diego, CA 92110

Mailing address

2565 Ingulf PL
San Diego, CA 92110-2361

Other practice location 1

909 1st Ave Ste 630
Seattle, WA 98104-3627
Phone (206) 489-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98919CAMDMarriage & Family Therapist
A98919CAMDDermatology Physician
37672GAMDDermatology Physician
037672GAMDDermatopathology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1164493151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 INGULF PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 INGULF PLACE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "telephone_number": "619-446-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 1st Ave Ste 630",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043627",
            "country_code": "US",
            "telephone_number": "206-489-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATTER",
        "first_name": "ELIZABETH",
        "middle_name": "KLINE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "37672",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "98919",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A98919",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "037672",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A98919",
            "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 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.