Organization Active NPI

Ginsberg Dermatology

  • Medical Specialty Clinic/Center
  • San Diego, CA
National Provider Identifier
1215691951
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GINSBERG DERMATOLOGY
Practice address
6719 Alvarado Rd Ste 207
San Diego, CA 92120-5252
Phone
(619) 265-2152
Fax
(619) 265-2167
NPI assigned
Oct 28, 2021
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
David Nathan Ginsberg, MDNPI 1891225652
Title
Ceo/Physician
Phone
(619) 890-0236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

6719 Alvarado Rd Ste 207
San Diego, CA 92120-5252

Mailing address

6719 Alvarado Rd Ste 207
San Diego, CA 92120-5252
Phone (619) 265-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220518002126 CA Part B Supplier - Clinic/Group Practice 3476930157 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

6719 Alvarado Rd
Ste 207
San Diego, CA 92120
Phone (619) 265-2152

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1215691951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205252",
            "telephone_number": "619-265-2152",
            "fax_number": "619-265-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205252",
            "telephone_number": "619-265-2152",
            "fax_number": "619-265-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINSBERG DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "GINSBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "619-890-0236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 Nov 11, 2021; 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.

Verify at the official NPI Registry.