Organization Active NPI

San Diego Dermatology Partners Apc

  • Dermatology Physician
  • La Mesa, CA
National Provider Identifier
1396304986
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SAN DIEGO DERMATOLOGY PARTNERS APC
Practice address
7918 El Cajon Blvd Ste N186
La Mesa, CA 91942-6719
Phone
(619) 303-3704
NPI assigned
Jun 7, 2019
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Mr. Jamison Feramisco, MDNPI 1043410871
Title
Practice Administrator
Phone
(214) 621-4303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

7918 El Cajon Blvd Ste N186
La Mesa, CA 91942-6719

Mailing address

7918 El Cajon Blvd Ste N186
La Mesa, CA 91942-6719
Phone (619) 303-3704

Other practice location 1

8898 Navajo Rd # C349
San Diego, CA 92119-2141
Phone (214) 621-4303

Other practice location 2

19929 Greenley Rd
Sonora, CA 95370-5996
Phone (214) 621-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190920002286 CA Part B Supplier - Clinic/Group Practice 5294062345 Receives reassigned benefits from 8 practitioners
Practice locations: San Diego, CA; Sonora, CA; Yuba City, CA

National Provider Directory

National Provider Directory

Locations

7918 El Cajon Blvd
Ste N
La Mesa, CA 91942
Phone (619) 228-3584

7918 El Cajon Blvd
Ste N168
La Mesa, CA 91942

7918 El Cajon Blvd
Ste N186
La Mesa, CA 91942
Phone (619) 303-3704

6280 Jackson Dr
Uppr
San Diego, CA 92119

367 Del Norte Ave
Ste 1
Yuba City, CA 95991
Phone (214) 621-4303

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1396304986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 EL CAJON BLVD STE N186",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426719",
            "telephone_number": "619-303-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 EL CAJON BLVD STE N186",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426719",
            "telephone_number": "619-303-3704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8898 Navajo Rd # C349",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921192141",
            "country_code": "US",
            "telephone_number": "214-621-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19929 Greenley Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705996",
            "country_code": "US",
            "telephone_number": "214-621-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN DIEGO DERMATOLOGY PARTNERS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "FERAMISCO",
        "authorized_official_first_name": "JAMISON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-621-4303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.