Active NPI
Ginsberg Dermatology
- Medical Specialty Clinic/Center
- San Diego, CA
National Provider Identifier
1215691951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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, 2021
- 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
- David Nathan Ginsberg, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- San Diego, CA
- NPI 1891225652
-
- Specialist
- San Diego, CA
- NPI 1285618728
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.