Active NPI
Jeffrey S. Eaton, M.D.
- MOHS-Micrographic Surgery Physician
- San Diego, CA
National Provider Identifier
1316913650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A61523
- Practice address
- 12395 El Camino Real
Suite 200
San Diego, CA 92130-3082 - Phone
- (858) 755-6647
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | A61523 | CA | Primary |
Addresses
Primary practice location
12395 El Camino Real
Suite 200
San Diego, CA 92130-3082
Mailing address
12395 El Camino Real
Suite 200
San Diego, CA 92130-3082
Phone (858) 755-6647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A615230 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of California, Geffen School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12395 El Camino Real
Suite 200
San Diego, CA 92130-3082
Phone (858) 755-6647
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.39 of 100
- Quality
- 86.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.28
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 489 |
| Removal of skin lesions | 19 |
| Removal of skin cancer | 704 |
| Skin biopsy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A61523 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Mar Med a Medical Corporation | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Howard Milstein M D a Medical Corp | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
7334 Girard Ave
Ste 201
La Jolla, CA 92037
Phone (619) 454-8811
12395 El Camino Real
Ste 200
San Diego, CA 92130
Phone (858) 481-3376
Interoperability endpoints
- jeaton31053@scrippshlth.medalliesdirect.net
- https://fhir4.healow.com/fhir/r4/AFFCAA/Endpoint/AFFCAA
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.
-
- MOHS-Micrographic Surgery Physician
- San Diego, CA
- NPI 1306938386
-
- Specialist
- La Jolla, CA
- NPI 1336267293
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1457337313
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841233780
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1316913650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303082",
"telephone_number": "858-755-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303082",
"telephone_number": "858-755-6647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "JEFFREY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A61523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A615230",
"state": "CA"
}
],
"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 Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.