Active NPI
John F Shega, M.D.
- Dermatology Physician
- San Diego, CA
National Provider Identifier
1366432312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G40700
- Practice address
- 2710 Health Center Dr
San Diego, CA 92123-2761 - Phone
- (858) 292-7525
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G40700 | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | G40700 | CA | |
| Procedural Dermatology Physician | 207NS0135X | G40700 | CA | |
| Dermatology Physician | 207N00000X | G40700 | CA | Primary |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | G40700 | CA |
Addresses
Primary practice location
2710 Health Center Dr
San Diego, CA 92123-2761
Mailing address
2710 Health Center Dr
San Diego, CA 92123-2761
Phone (858) 292-7525
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
- Dermatology
- Education
- Washington University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2710 Health Ctr Dr
San Diego, CA 92123-2761
Phone (858) 292-7525
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 21 |
| Removal of skin lesions | 323 |
| Removal of skin cancer | 43 |
| Skin biopsy | 232 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G40700 | CA | MD | Clinical & Laboratory Dermatological Immunology Physician |
| 40700 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John F Shega a Professional Corporation | Dermatology | Current | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
2710 Health Center Dr
San Diego, CA 92123
Phone (858) 292-7525
2710 Health Center Dr
#B
San Diego, CA 92123
Phone (619) 292-7525
Organizations & group practices 2
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.
-
- Dermatology Physician
- San Diego, CA
- NPI 1518991769
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1366432312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 HEALTH CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232761",
"telephone_number": "858-292-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 HEALTH CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232761",
"telephone_number": "858-292-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEGA",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G40700",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "G40700",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "G40700",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G40700",
"primary": true
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "CA",
"license": "G40700",
"primary": false
}
],
"identifiers": [],
"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 Apr 7, 2016; 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.