Active NPI
Lawrence F Eichenfield, M.D.
- Pediatric Dermatology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dermatology Physician
- License
- G69132
- Practice address
- 3030 Childrens Way
San Diego, CA 92123 - Phone
- (858) 966-6795
- NPI assigned
- Nov 13, 2006
- Last updated
- Dec 18, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G69132 | CA | |
| Pediatric Dermatology Physician | 207NP0225X | G69132 | CA | Primary |
Addresses
Primary practice location
3030 Childrens Way
San Diego, CA 92123
Mailing address
3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 309-6300
Other practice location 1
9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273
Other practice location 2
8010 Frost St
Suite 602
San Diego, CA 92123-2778
Phone (858) 966-6795
Other practice location 3
8899 University Center Ln
San Diego, CA 92122-1013
Phone (800) 926-8273
Other practice location 4
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G691320 | Medicaid | CA |
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
- Pediatric Medicine
- Education
- Icahn School of Medicine at Mount Sinai, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3010 Childrens Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3020 Children's Way
San Diego, CA 92123-4223
Phone (858) 576-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69132 | CA | MD | Pediatric Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Rady Children's Hospital San Diego | Current | Accepting new patients | |
| Rady Children's Hospital San Diego | Current | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Children's Hospital of Orange County | Past | Accepting new patients |
Locations
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 966-8300
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300
3030 Childrens Way
San Diego, CA 92123
Phone (858) 966-4003
8010 Frost St
Ste 602
San Diego, CA 92123
Phone (858) 966-4926
8899 University Center Ln
San Diego, CA 92122
Phone (858) 543-7496
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- leichenfield9889@radychildrens.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rady Children's Specialists of San Diego, A Medical Foundation
- Pediatrics Physician
- San Diego, CA
- NPI 1669617197
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
dba Rady Children's Hospital Orange County
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
dba Ucsd Medical Center Pharmacy
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
-
dba Sharp Allison deRose Rehabilitation Center
- 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": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1477624138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5003",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-309-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-966-6795"
}
],
"practiceLocations": [
{
"address_1": "9300 Campus Point Dr",
"address_purpose": "LOCATION",
"city": "La Jolla",
"state": "CA",
"postal_code": "920371300",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8010 Frost St",
"address_2": "SUITE 602",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921232778",
"country_code": "US",
"telephone_number": "858-966-6795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8899 University Center Ln",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921221013",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EICHENFIELD",
"first_name": "LAWRENCE",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G69132",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "CA",
"license": "G69132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G691320",
"state": "CA"
}
],
"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 Dec 18, 2025; 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.