Individual provider Active NPI

Christopher V Crosby, M.D., PH.D.

  • MOHS-Micrographic Surgery Physician
  • La Mesa, CA
National Provider Identifier
1497931380
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A107312 Issued in CA
Practice address
8860 Center Dr
Suite 300
La Mesa, CA 91942-3068
Phone
(619) 462-1670
Fax
(619) 462-3209
NPI assigned
Jan 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 058457 GA
Dermatology Physician 207N00000X A107312 CA
Procedural Dermatology Physician 207NS0135X A107312 CA
MOHS-Micrographic Surgery Physician 207ND0101X A107312 CA Primary

Addresses

Primary practice location

8860 Center Dr
Suite 300
La Mesa, CA 91942-3068

Mailing address

8860 Center Dr
Suite 300
La Mesa, CA 91942-3068
Phone (619) 462-1670

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000084 CA Practitioner - Dermatology 0941324644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical University of South Carolina College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grossmont Dermatology Medical ClinicGroup PAC ID 4981672342, 10 clinicians

Practice addresses (Care Compare)

8860 Ctr Dr
Suite 300
La Mesa, CA 91942-7001
Phone 6194621670215

Merit-based Incentive Payment System (MIPS)

Final score
13.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
45.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision130
Removal of tissue18
Removal of skin lesions694
Removal of skin cancer549
Removal of nail tissue1-10
Removal or shaving of skin growth58
Skin biopsy93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
058457GAMDDermatology Physician
A107312CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen William Doggett, M.D. PA CurrentSince Feb 24, 2018 Accepting new patients
Coastal Skin and Eye Institute, Inc. Dermatology CurrentSince Apr 18, 2016 Accepting new patients
Grossmont Dermatology Medical Clinic Dermatology CurrentSince Jul 1, 2010 Accepting new patients
Coastal Skin and Eye Institute, Inc. Dermatology Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

489 Saxony Pl
Ste 101
Encinitas, CA 92024
Phone (760) 257-5550

8860 Center Dr
Ste 300
La Mesa, CA 91942
Phone (619) 462-1670

5550 Carmel Mountain Rd
Ste 206
San Diego, CA 92130
Phone (858) 943-2540

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1497931380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE 300",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-462-1670",
            "fax_number": "619-462-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE 300",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-462-1670",
            "fax_number": "619-462-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "CHRISTOPHER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "058457",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A107312",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A107312",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A107312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.