Individual provider Active NPI

Abhilasha Tyagi, MD

  • Dermatology Physician
  • National City, CA
National Provider Identifier
1609262963
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A144751 Issued in CA
Practice address
655 Euclid Ave Ste 304
National City, CA 91950-2974
Phone
(619) 267-8303
Fax
(619) 267-4835
NPI assigned
Apr 13, 2015
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X A144751 CA Primary

Addresses

Primary practice location

655 Euclid Ave Ste 304
National City, CA 91950-2974

Mailing address

655 Euclid Ave Ste 304
National City, CA 91950-2974

Other practice location 1

4725 Market St
San Diego, CA 92102-4715
Phone (619) 515-2560

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
I20220310000388 CA Practitioner - Dermatology 0941598973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

655 Euclid Ave
Suite 304
National City, CA 91950-2974
Phone (619) 267-8303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions305
Removal or shaving of skin growth91
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144751CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Sep 4, 2025 Accepting new patients
Family Health Centers of San Diego, Inc Single Specialty Current Accepting new patients
William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, Inc. Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Sep 4, 2025 Accepting new patients
Jacqueline Brogan MD Single Specialty Past Accepting new patients
William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc Dermatology Past Accepting new patients

Locations

222 W Madison Ave
El Cajon, CA 92020
Phone (619) 579-5115

655 Euclid Ave
Ste 304
National City, CA 91950
Phone (619) 267-8303

655 Euclid Ave
Ste 401
National City, CA 91950
Phone (619) 267-8303

15725 Pomerado Rd
Ste 102
Poway, CA 92064
Phone (619) 267-8303

4725 Market St
San Diego, CA 92102
Phone (619) 515-2560

5222 Balboa Ave
Fl 5
San Diego, CA 92117
Phone (619) 267-8303

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1609262963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 304",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502974",
            "fax_number": "619-267-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 304",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502974",
            "telephone_number": "619-267-8303",
            "fax_number": "619-267-4835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 Market St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921024715",
            "country_code": "US",
            "telephone_number": "619-515-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYAGI",
        "first_name": "ABHILASHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A144751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.