NPIMap

Organization Active NPI

Dermatology Surgical and Medical, Apc

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1851645253
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G886298 Issued in CA
Legal business name
DERMATOLOGY SURGICAL AND MEDICAL, APC
Practice address
2881 4TH Ave
San Diego, CA 92103-6207
Phone
(619) 291-8292
Fax
(619) 291-8229
NPI assigned
Nov 7, 2012
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Dr. Michael R Lerner, MDNPI 1538314141
Title
Owner
Phone
(858) 353-7247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G886298 CA Primary

Addresses

Primary practice location

2881 4TH Ave
San Diego, CA 92103-6207

Mailing address

2881 4TH Ave
San Diego, CA 92103-6207
Phone (619) 291-8292

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1851645253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036207",
            "telephone_number": "619-291-8292",
            "fax_number": "619-291-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036207",
            "telephone_number": "619-291-8292",
            "fax_number": "619-291-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SURGICAL AND MEDICAL, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-353-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G886298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.