Individual provider Active NPI

Jeffrey S. Eaton, M.D.

  • MOHS-Micrographic Surgery Physician
  • San Diego, CA
National Provider Identifier
1316913650
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A61523 Issued in CA
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

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A615230MedicaidCA

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
I20070320000145 CA Practitioner - Otolaryngology 9830292481 Reassigns benefits to 2 organizations

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
Del Mar Med a Medical CorporationGroup PAC ID 6002919651, 4 clinicians

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 100Reported as group
Quality
86.67
Promoting interoperability
98
Improvement activities
40
Cost
76.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision489
Removal of skin lesions19
Removal of skin cancer704
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61523CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Del Mar Med a Medical Corporation Mohs-Micrographic Surgery CurrentSince Jan 2, 2007 Accepting new patients
Howard Milstein M D a Medical Corp CurrentSince Apr 1, 2007 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

  • Direct secure messaging: jeaton31053@scrippshlth.medalliesdirect.net
  • FHIR API: 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.

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

Verify at the official NPI Registry.