Individual provider Active NPI

Michael Joseph Messina, MD

  • Dermatology Physician
  • Palm Desert, CA
National Provider Identifier
1609073048
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A106316 Issued in CA
Practice address
44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone
(760) 773-6616
Fax
(760) 773-6618
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A106316 CA Primary
MOHS-Micrographic Surgery Physician 207ND0101X A106037 CA

Addresses

Primary practice location

44311 Monterey Ave
Palm Desert, CA 92260-2710

Mailing address

44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616

Other practice location 1

7509 Draper Ave Ste A
LA Jolla, CA 92037-4857
Phone (858) 683-8118

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
I20101021000553 CA Practitioner - Dermatology 8527251610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northeastern Ohio University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natalie Driessen MD IncGroup PAC ID 0446481360, 10 clinicians

Practice addresses (Care Compare)

44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616

7509 Draper Ave
Suite a
La Jolla, CA 92037-4857
Phone (858) 683-8118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision97
Removal of skin lesions2949
Removal of skin cancer558
Skin biopsy579

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106316CAMDDermatology Physician
A106037CAMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Jul 5, 2010 Accepting new patients
Beaver Medical Group P C Dermatology CurrentSince Jul 5, 2010 Accepting new patients
Natalie Driessen, MD, Inc. CurrentSince Aug 15, 2016 Accepting new patients
J Robert West, M.D., Inc Dermatology Past Accepting new patients
Palm Desert Surgery Center, a Medical Corporation PastSince May 28, 2021 Accepting new patients

Locations

7509 Draper Ave
Ste A
La Jolla, CA 92037
Phone (858) 352-6200

44311 Monterey Ave
Palm Desert, CA 92260
Phone (760) 773-6616

43585 Monterey Ave
Ste 7
Palm Desert, CA 92260
Phone (760) 773-6616

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

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.

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1609073048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44311 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602710",
            "telephone_number": "760-773-6616",
            "fax_number": "760-773-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44311 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602710",
            "telephone_number": "760-773-6616",
            "fax_number": "760-773-6618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7509 Draper Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920374857",
            "country_code": "US",
            "telephone_number": "858-683-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A106316",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A106037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.