Active NPI
Shaun Ostrofe, DO
- Dermatology Physician
- San Diego, CA
National Provider Identifier
1386102952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0102206354
- Practice address
- Naval Medical Center San Diego 34800 Bob Wilson Drive
San Diego, CA 92134-2111 - Phone
- (619) 532-9684
- NPI assigned
- Mar 3, 2019
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0102206354 | VA | Primary |
Addresses
Primary practice location
Naval Medical Center San Diego 34800 Bob Wilson Drive
San Diego, CA 92134-2111
Mailing address
1395 Caminito Floreo
La Jolla, CA 92037-7188
Phone (208) 720-9861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206354 | VA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1386102952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 CAMINITO FLOREO",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920377188",
"telephone_number": "208-720-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921342111",
"telephone_number": "619-532-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTROFE",
"first_name": "SHAUN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-03",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0102206354",
"primary": true
}
],
"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 Jul 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.