Active NPI
Daniel E. Zelac, M.D.
- MOHS-Micrographic Surgery Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- G85319
- Practice address
- 10820 N Torrey Pines Rd
La Jolla, CA 92037-1036 - Phone
- (858) 554-8646
- Fax
- (858) 554-9562
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G85319 | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | G85319 | CA | Primary |
Addresses
Primary practice location
10820 N Torrey Pines Rd
La Jolla, CA 92037-1036
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 554-8646
Other practice location 1
3811 Valley Centre Dr
San Diego, CA 92130-3318
Phone (858) 764-3000
Other practice location 2
10862 Calle Verde
LA Mesa, CA 91941-7340
Phone (619) 660-1810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G0853190 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922000785 | CA | Practitioner - Dermatology | 4284750761 | Reassigns benefits to 1 organization |
| I20251103003025 | HI | Practitioner - Micrographic Dermatologic Surgery (MDS) | 4284750761 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G85319 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Oculofacial Plastic Surgery of Hawaii Inc | Current | Accepting new patients | |
| Scripps Health | Dermatology | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Amy Reisenauer MD LLC | Dermatology | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients | |
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10820 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-3300
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
10862 Calle Verde
La Mesa, CA 91941
Phone (619) 660-5400
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
3811 Valley Centre Dr
San Diego, CA 92130
Phone (858) 554-8645
9730 Summers Ridge Rd
#100
San Diego, CA 92121
Phone (858) 549-7400
15004 Innovation Dr
San Diego, CA 92128
Phone (858) 487-1800
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
1300 N Holopono St
Ste 215
Kihei, HI 96753
Phone (800) 874-3444
Interoperability endpoints
- dzelac19035@scrippshlth.medalliesdirect.net
Organizations & group practices 20
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.
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841233780
-
- Psychiatric Hospital Unit
- San Diego, CA
- NPI 1154308005
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1245216928
-
- Ambulatory Surgical Clinic/Center
- Oceanside, CA
- NPI 1417580028
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
- Anatomic Pathology & Clinical Pathology Physician
- La Jolla, CA
- NPI 1720755275
-
- Ambulatory Surgical Clinic/Center
- La Jolla, CA
- NPI 1972054534
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Temple University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scripps Health
Practice addresses (Care Compare)
10862 Calle Verde
La Mesa, CA 91941-7340
Phone (619) 670-5400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 87 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 266 |
| Removal of skin cancer | 329 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 173 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1891709903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-554-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10820 N TORREY PINES RD",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371036",
"telephone_number": "858-554-8646",
"fax_number": "858-554-9562"
}
],
"practiceLocations": [
{
"address_1": "3811 Valley Centre Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921303318",
"country_code": "US",
"telephone_number": "858-764-3000",
"fax_number": "858-764-3299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10862 Calle Verde",
"address_purpose": "LOCATION",
"city": "LA Mesa",
"state": "CA",
"postal_code": "919417340",
"country_code": "US",
"telephone_number": "619-660-1810",
"fax_number": "619-660-1859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZELAC",
"first_name": "DANIEL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G85319",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "G85319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G0853190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.