Individual provider Active NPI

Robert J Segal, MD

  • Dermatology Physician
  • Santa Cruz, CA
National Provider Identifier
1306823216
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G32558 Issued in CA
Practice address
1661 Soquel Dr Ste E
Santa Cruz, CA 95065-1709
Phone
(831) 476-2444
Fax
(831) 476-0705
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 G32558 CA Primary

Addresses

Primary practice location

1661 Soquel Dr Ste E
Santa Cruz, CA 95065-1709

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Robert.Segal@ffdwest.emadirect.md

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
I20211104002360 CA Practitioner - Dermatology 3173591955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of Ny Upstate Medical University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology - Pacific, P.C.Group PAC ID 8325946015, 25 clinicians

Practice addresses (Care Compare)

1661 Soquel Dr
Suite E
Santa Cruz, CA 95065-1709
Phone (831) 476-2444

Merit-based Incentive Payment System (MIPS)

Final score
89.05 of 100Reported as group
Quality
87.64
Promoting interoperability
100
Improvement activities
40
Cost
73.33

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions414
Removal or shaving of skin growth12
Skin biopsy169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G32558CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology - Pacific, P.C. Dermatology Current Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology CurrentSince Feb 27, 2024 Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology CurrentSince Feb 27, 2024 Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology Past Accepting new patients

Locations

15055 Los Gatos Blvd
Ste 100
Los Gatos, CA 95032
Phone (408) 333-9580

1661 Soquel Dr
Ste B
Santa Cruz, CA 95065
Phone (831) 476-2444

1661 Soquel Dr
Ste E
Santa Cruz, CA 95065
Phone (831) 476-2444

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: robert.segal@ffdwest.emadirect.md

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1306823216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR STE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "831-476-2444",
            "fax_number": "831-476-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G32558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Segal@ffdwest.emadirect.md",
            "affiliation": "N",
            "address_1": "1661 Soquel Dr Ste E",
            "city": "Santa Cruz",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950651709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.