Naomi Travers, NP

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

558188 Issued in CA

Practice address

15725 Poway Road
Suite 102
Poway, CA 92064-5138

Phone

(858) 397-5755

Fax

(858) 454-5724

NPI assigned

Jun 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Naomi Theodorou Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatologist Medical Group of North County IncGroup PAC ID 7315849981, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: naomit@northcounty.emadirect.md

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.

• Dermatologist Medical Group of North County, Inc

  • Dermatology Physician
  • Oceanside, CA
  • NPI 1538191077
  Medicare reassignment Care Compare group NPD
• Boughton Dermatology

  • Dermatopathology Physician
  • La Jolla, CA
  • NPI 1750691010
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1639550833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 GIRARD AVE STE 104",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375138",
            "telephone_number": "858-900-2712",
            "fax_number": "858-750-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POWAY ROAD",
            "address_2": "SUITE 102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645138",
            "telephone_number": "858-397-5755",
            "fax_number": "858-454-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "NAOMI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "558188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "THEODOROU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Tran
• Roger Trong Tran, DDS
• Thuy Thi Tran, PHARM.D.
• Joel Traut, MD
• Robert S Trautman, RPH
• Sean Travi
• Travis Steinberg DDS Inc.
• Trenton L Pierce MD Professional Corporation
• Kirill Trofimov
• Brian Turcios

• Dermatology Physician in Poway, CA
• Providers in Poway, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.

Verify at the official NPI Registry.