Individual provider Active NPI

Antoanella Calame, M.D.

  • Dermatopathology Physician
  • San Diego, CA
National Provider Identifier
1285817569
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A84455 Issued in CA
Practice address
6605 Nancy Ridge Dr
San Diego, CA 92121-2253
Phone
(858) 750-2983
Fax
(858) 750-2984
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X M7845 TX
Dermatopathology Physician 207ND0900X A84455 CA Primary

Addresses

Primary practice location

6605 Nancy Ridge Dr
San Diego, CA 92121-2253

Mailing address

6605 Nancy Ridge Dr
San Diego, CA 92121-2253
Phone (858) 750-2983

Other identifiers 1

IdentifierTypeStateIssuer
DW536ZOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101117000116 CA Practitioner - DermatologyPractitioner - Pathology 2860545134 Reassigns benefits to 2 organizations
I20250123003894 NM Practitioner - Dermatology 2860545134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Dermatopathology IncGroup PAC ID 7113112558, 8 clinicians

Practice addresses (Care Compare)

101 Hospital Loop NE
Suite 114
Albuquerque, NM 87109-2100
Phone (858) 750-2983

6605 Nancy Ridge Dr
San Diego, CA 92121-2253
Phone (858) 750-2983

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions114
Removal of skin cancer21
Removal or shaving of skin growth1-10
Skin biopsy51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7845TXMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jun 1, 2015 Accepting new patients
Scripps Health Current Accepting new patients
David C Leech DO Inc PC CurrentSince Dec 9, 2024 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
Lanoi Medical Group Family Medicine Past Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

101 Hospital Loop NE
Ste 114
Albuquerque, NM 87109
Phone (505) 888-7770

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17606/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/7922/brand/1/csg/1/fhir/r4
  • Direct secure messaging: acalame71395@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1285817569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 NANCY RIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212253",
            "telephone_number": "858-750-2983",
            "fax_number": "858-750-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 NANCY RIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212253",
            "telephone_number": "858-750-2983",
            "fax_number": "858-750-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAME",
        "first_name": "ANTOANELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "M7845",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A84455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DW536Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.