Individual provider Active NPI

Swati Kannan, M.D.

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1508155227
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A137129 Issued in CA
Practice address
8899 University Center LN
San Diego, CA 92122-1013
Phone
(858) 657-8322
Fax
(858) 657-1610
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A137129 CA Primary

Addresses

Primary practice location

8899 University Center LN
San Diego, CA 92122-1013

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (858) 249-6751

Other practice location 1

2020 Santa Monica Blvd
Suite 510
Santa Monica, CA 90404-2023
Phone (310) 917-3376

Other practice location 2

700 Garden View Ct Ste 100
Encinitas, CA 92024-2478
Phone (760) 633-1000

Other practice location 3

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

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
I20151020002378 CA Practitioner - Dermatology 5890928782 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision187
Removal of skin lesions19
Removal of skin cancer475
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137129CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Sep 9, 2017 Accepting new patients
Regents of the University of California Current Accepting new patients
Coastal Skin and Eye Institute, Inc. Dermatology CurrentSince Dec 1, 2021 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Apr 1, 2021 Accepting new patients
Regents of the University of California CurrentSince Sep 9, 2017 Accepting new patients
Csi Medical Group Dermatology CurrentSince Jan 1, 2021 Accepting new patients
Carlsbad and Vista Dermatology, Inc. Dermatology PastSince Jul 1, 2017 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients
Horizon Dermatology and Laser Institute Dermatology Past Accepting new patients

Locations

477 N El Camino Real
Ste C300
Encinitas, CA 92024
Phone (760) 257-5550

700 Garden View Ct
Ste 100
Encinitas, CA 92024
Phone (760) 452-4270

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

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

8899 University Center Ln
San Diego, CA 92122
Phone (858) 543-7496

8899 University Center Ln
Ste 350
San Diego, CA 92122
Phone (858) 657-1675

525 Plaza Dr
Ste 200
Santa Maria, CA 93454
Phone (805) 544-5567

116 S Palisade Dr
Ste 208
Santa Maria, CA 93454
Phone (805) 347-2100

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

1934 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 295-2299

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1508155227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "858-249-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 UNIVERSITY CENTER LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221013",
            "telephone_number": "858-657-8322",
            "fax_number": "858-657-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Santa Monica Blvd",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042023",
            "country_code": "US",
            "telephone_number": "310-917-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Garden View Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242478",
            "country_code": "US",
            "telephone_number": "760-633-1000",
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNAN",
        "first_name": "SWATI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A137129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.