Individual provider Active NPI

Daniel E. Zelac, M.D.

  • MOHS-Micrographic Surgery Physician
  • La Jolla, CA
National Provider Identifier
1891709903
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G85319 Issued in CA
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

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G0853190MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100922000785 CA Practitioner - Dermatology 4284750761 Reassigns benefits to 1 organization
I20251103003025 HI Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 4284750761 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G85319CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients
Scripps Health CurrentSince Jul 20, 2013 Accepting new patients
Oculofacial Plastic Surgery of Hawaii Inc CurrentSince Aug 8, 2025 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 CurrentSince Aug 8, 2025 Accepting new patients
Scripps Health CurrentSince Jul 20, 2013 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

  • Direct secure messaging: 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.

View all 20

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 1,450 clinicians

Practice addresses (Care Compare)

10862 Calle Verde
La Mesa, CA 91941-7340
Phone (619) 670-5400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision87
Removal of tissue1-10
Removal of skin lesions266
Removal of skin cancer329
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy173

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

Verify at the official NPI Registry.