Individual provider Active NPI

David E Sawcer, MD, PHD

  • Dermatology Physician
  • San Marino, CA
National Provider Identifier
1760578397
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A85735 Issued in CA
Practice address
2275 Huntington Dr # 854
San Marino, CA 91108-2640
Phone
(626) 864-0019
Fax
(310) 422-7118
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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 A85735 CA Primary

Addresses

Primary practice location

2275 Huntington Dr # 854
San Marino, CA 91108-2640

Mailing address

2275 Huntington Dr # 854
San Marino, CA 91108-2640
Phone (626) 864-0019

Other identifiers 1

IdentifierTypeStateIssuer
00A857350MedicaidCA

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
I20050701000970 CA Practitioner - Dermatology 3870539539 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Leur Medicine IncGroup PAC ID 0840512844, 5 clinicians

Practice addresses (Care Compare)

1450 San Pablo St
Suite 5400
Los Angeles, CA 90033-4500
Phone (323) 442-5300

359 San Miguel Dr
Suite 300
Newport Beach, CA 92660-7809
Phone (949) 200-8222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision99
Removal of skin lesions1002
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy244

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc Dermatology CurrentSince Jul 1, 2005 Accepting new patients
Advanced Institute of Dermatology, Inc Dermatology CurrentSince Nov 4, 2019 Accepting new patients
Contour Dermatology and Cosmetic Surgery Medical Center, Apc Dermatology CurrentSince Jan 16, 2013 Accepting new patients
Leur Medicine Inc Dermatology CurrentSince Nov 1, 2019 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2005 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

1355 San Pablo St
Los Angeles, CA 90033
Phone (626) 457-5800

830 S Flower St
Ste A100
Los Angeles, CA 90017
Phone (213) 437-1000

1450 San Pablo St
Ste 5400
Los Angeles, CA 90033
Phone (323) 442-4300

830 S Flower St
Ste B100
Los Angeles, CA 90017
Phone (213) 486-8630

1520 San Pablo St
Fl 1
Los Angeles, CA 90033
Phone (213) 743-9000

1450 San Pablo St
Ste 2000
Los Angeles, CA 90033
Phone (323) 221-3270

1450 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-6335

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1031 W 34th St
Ste 430
Los Angeles, CA 90089
Phone (213) 821-6500

830 S Flower St
Los Angeles, CA 90017
Phone (213) 437-1007

359 San Miguel Dr
Ste 300
Newport Beach, CA 92660
Phone (949) 200-8222

41990 Cook St
Bldg F1006
Palm Desert, CA 92211
Phone (760) 568-9300

625 S Fair Oaks Ave
Ste 400
Pasadena, CA 91105
Phone (626) 568-1622

42600 Mirage Rd
#A1
Rancho Mirage, CA 92270

42600 Mirage Rd
Ste A1
Rancho Mirage, CA 92270
Phone (760) 416-6971

665 Camino de los Mares
Ste 305
San Clemente, CA 92673
Phone (949) 276-8090

665 Camino de los Mares
#30
San Clemente, CA 92673
Phone (949) 276-8090

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1760578397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 HUNTINGTON DR # 854",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082640",
            "telephone_number": "626-864-0019",
            "fax_number": "310-422-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 HUNTINGTON DR # 854",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082640",
            "telephone_number": "626-864-0019",
            "fax_number": "310-422-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWCER",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A85735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A857350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.