Individual provider Active NPI

Jason Seidman

  • Dermatology Physician
  • El Cajon, CA
National Provider Identifier
1295312254
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A179883 Issued in CA
Practice address
222 W Madison Ave
El Cajon, CA 92020-3406
Phone
(619) 579-5115
NPI assigned
Mar 25, 2021
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A179883 CA Primary

Addresses

Primary practice location

222 W Madison Ave
El Cajon, CA 92020-3406

Mailing address

222 W Madison Ave
El Cajon, CA 92020-3406
Phone (619) 579-5115

Other practice location 1

15725 Pomerado Rd Ste 102
Poway, CA 92064-2057
Phone (619) 267-8303

Other practice location 2

655 Euclid Ave Ste 304
National City, CA 91950-2974
Phone (619) 267-8303

Other practice location 3

5222 Balboa Ave Fl 5
San Diego, CA 92117-6904
Phone (619) 267-8303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250605001472 CA Practitioner - Dermatology 5991214322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

222 W Madison Ave
El Cajon, CA 92020-3406
Phone (619) 579-5115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions195
Removal or shaving of skin growth21
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179883CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, Inc. Dermatology Current Accepting new patients
William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc Dermatology CurrentSince Jul 1, 2025 Accepting new patients

Locations

222 W Madison Ave
El Cajon, CA 92020
Phone (619) 579-5115

655 Euclid Ave
Ste 304
National City, CA 91950
Phone (619) 267-8303

15725 Pomerado Rd
Ste 102
Poway, CA 92064
Phone (619) 267-8303

5222 Balboa Ave
Fl 5
San Diego, CA 92117
Phone (619) 267-8303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1295312254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203406",
            "telephone_number": "619-579-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203406",
            "telephone_number": "619-579-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15725 Pomerado Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642057",
            "country_code": "US",
            "telephone_number": "619-267-8303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Euclid Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502974",
            "country_code": "US",
            "telephone_number": "619-267-8303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5222 Balboa Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176904",
            "country_code": "US",
            "telephone_number": "619-267-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A179883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.