Solano Dermatology Associates Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SOLANO DERMATOLOGY ASSOCIATES INC

Practice address

480 Chadbourne Rd
Ste 201
Fairfield, CA 94534-9647

Phone

(707) 643-5785

Fax

(707) 643-5876

NPI assigned

Jan 25, 2009

Organization subpart

Yes

Parent organization

SOLANO DERMATOLOGY ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

Dr. John Kevin Geisse, M.D.NPI 1275571028

Title

Owner

Phone

(707) 643-5785

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Solano Dermatology Asso4 organizations share this tax ID, including this one

Part of

Solano Dermatology Asso

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Solano Dermatology Associates

  • Dermatology Physician
  • Saint Helena, CA
  • NPI 1639491103
  NPD tax ID
• Solano Dermatology Associates Inc

  • Dermatology Physician
  • Napa, CA
  • NPI 1205342920
  NPD tax ID
• Solano Dermatology Associates Inc

  • Dermatology Physician
  • El Cerrito, CA
  • NPI 1962639583
  NPD tax ID

Locations

Practitioners 1

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

• John Kevin Geisse, M.D.

  • MOHS-Micrographic Surgery Physician
  • Vallejo, CA
  • NPI 1275571028

  Dermatology

  NPD (past) Authorized official

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232841600000",
    "number": "1346488699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 SACRAMENTO ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902929",
            "telephone_number": "707-643-5785",
            "fax_number": "707-643-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CHADBOURNE RD",
            "address_2": "STE 201",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349647",
            "telephone_number": "707-643-5785",
            "fax_number": "707-643-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANO DERMATOLOGY ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLANO DERMATOLOGY ASSOCIATES INC",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A",
        "authorized_official_last_name": "GEISSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-643-5785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0023150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solano County Public Health Nursing
• Solano County Resource Management
• Solano County Superintendent of Schools (Solano County Office of Education)
• Solano County Superintendent of Schools (Solano County Office of Education)
• Solano County Superintendent of Schools (Solano County Office of Education)
• Solano Diagnostics Imaging Medical Group
• Solano Diagnostics Partners a Calif Limited Partnership (Solano Diagnostics Imaging)
• Solano Diagnostics Partners, a Calif Limited Partnership (Solano Diagnostics Imaging Medical Group)
• Solano Diagnostics Partners, a Calif Limited Partnership
• Solano Eye Care an Optometric Corporation

• Dermatology Physician in Fairfield, CA
• Providers in Fairfield, 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 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.