Active NPI
Academy Skin Physicians, Inc.
- MOHS-Micrographic Surgery Physician
- San Diego, CA
National Provider Identifier
1447296363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A65177
- Legal business name
- ACADEMY SKIN PHYSICIANS, INC.
- Practice address
- 4510 Executive Dr
Suite 210
San Diego, CA 92121-3021 - Phone
- (858) 452-1430
- Fax
- (858) 452-0651
- NPI assigned
- Jun 20, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alizabeth Lechi Truong, M.D.
- Title
- President
- Phone
- (858) 452-1430
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A68200 | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | A65177 | CA | Primary |
Addresses
Primary practice location
4510 Executive Dr
Suite 210
San Diego, CA 92121-3021
Mailing address
4510 Executive Dr
Suite 210
San Diego, CA 92121-3021
Phone (858) 452-1430
National Provider Directory
National Provider DirectoryLocations
4520 Executive Dr
Ste 325
San Diego, CA 92121
Phone (858) 346-2065
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Procedural Dermatology Physician
- Port Orchard, WA
- NPI 1699716860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1447296363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "SUITE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021",
"telephone_number": "858-452-1430",
"fax_number": "858-452-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "SUITE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021",
"telephone_number": "858-452-1430",
"fax_number": "858-452-0651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADEMY SKIN PHYSICIANS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "ALIZABETH",
"authorized_official_middle_name": "LECHI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-452-1430",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A68200",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A65177",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.