Mismo Dermatology Group Apc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MISMO DERMATOLOGY GROUP APC

Practice address

8898 Navajo Rd Ste C-349
San Diego, CA 92119-2141

Phone

(619) 303-3704

NPI assigned

Jun 7, 2019

Last updated

Aug 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Springe

Title

Practice Administrator

Phone

(214) 621-4303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 14

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.

• Jamison Derek Feramisco, MD, PHD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1043410871

  Dermatology

  Medicare reassignment Care Compare group NPD
• Ghada Hatim Saloha, NP

  • Primary Care Nurse Practitioner
  • San Diego, CA
  • NPI 1801528427

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sukhjit Kaur

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1023780244
  Medicare reassignment NPD
• Daniel C Meador, MD

  • Internal Medicine Physician
  • Sonora, CA
  • NPI 1619925989
  Medicare reassignment NPD
• Shawn Pakravan

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1982081014
  Medicare reassignment NPD
• Arudi L Prabhakar, M.D.

  • Specialist
  • La Mesa, CA
  • NPI 1396710075
  Medicare reassignment NPD
• Rosemary Castoreno, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1225135957

  CA

  Medicare reassignment NPD
• Thanh Dinh Hoang, DO

  • Hospitalist Physician
  • Fayetteville, NC
  • NPI 1316400401

  CA

  Medicare reassignment
• Kimberly Trang Banh, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1386370294
  NPD
• Jeffrey Tomoya Collins

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1255214243
  NPD
• Enas Shammo, FNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1174086870
  NPD
• Sabrina Chau

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1013899814
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1306405998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8898 NAVAJO RD STE C-349",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192141",
            "telephone_number": "619-303-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8898 NAVAJO RD STE C-349",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192141",
            "telephone_number": "619-303-3704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19929 Greenley Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705996",
            "country_code": "US",
            "telephone_number": "214-621-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISMO DERMATOLOGY GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "SPRINGE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-621-4303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Miskimen
• James Misla, D.D.S.
• Anton Fuad Misleh, DDS
• Courtney Misleh, DMD
• Joyce Ann Misleh, RPH
• Latoya Misouria
• Rianne Misquita
• Miss Mary's Doula Service
• Sanaz Missaghi-Lajvardi, M.D.
• Georgina Christina Missailidis, MS, BCBA

• Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.