Fasttrack Dermatology MD, Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FASTTRACK DERMATOLOGY MD, MEDICAL CORPORATION

Practice address

421 Broadway # 346
San Diego, CA 92101-5107

Phone

(760) 399-6721

NPI assigned

Jan 7, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Haller, MDNPI 1790312841

Title

Dermatologist

Phone

(858) 943-7903

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Haller, MD

  • Dermatology Physician
  • San Diego, CA
  • NPI 1790312841
  NPD Authorized official

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1336006733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BROADWAY UNIT 346",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BROADWAY # 346",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015107",
            "telephone_number": "760-399-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTTRACK DERMATOLOGY MD, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "858-943-7903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L Fassett, MD
• Robert Todd Fassett, M.D.
• Sara Fassihi, MD
• Molly Fassler, M.S., LMFT, LPCC
• Fast Aid Nemt
• Maroofa Fata
• Aayah Fatayerji, DO
• Eric Fate
• Diane Loretta Fatica, FNP/ANP-BC, DNP
• Javad John Fatollahi, M.D.

• 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 Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.