Individual provider Active NPI

Joseph Del Priore, D.O.

  • MOHS-Micrographic Surgery Physician
  • San Diego, CA
National Provider Identifier
1932372562
Registry record updated Dec 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
20A10565 Issued in CA
Practice address
3737 Moraga Ave Ste B412
San Diego, CA 92117-5363
Phone
(828) 292-0204
NPI assigned
Apr 3, 2008
Last updated
Dec 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A10565 CA
MOHS-Micrographic Surgery Physician 207ND0101X 20A10565 CA Primary
Dermatopathology Physician 207ND0900X 20A10565 CA
Procedural Dermatology Physician 207NS0135X 20A10565 CA

Addresses

Primary practice location

3737 Moraga Ave Ste B412
San Diego, CA 92117-5363

Mailing address

3737 Moraga Ave Ste B412
San Diego, CA 92117-5363
Phone (828) 292-0204

Other practice location 1

473 N Fair Oaks Ave
Pasadena, CA 91103-3621
Phone (626) 792-2378

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
I20110531000570 CA Practitioner - Dermatology 6507043536 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

301 S Fair Oaks Ave
Suite 302
Pasadena, CA 91105-2562
Phone (626) 792-2378

3737 Moraga Ave
Suite B412
San Diego, CA 92117-5363
Phone (858) 292-0204

9535 Reseda Blvd
Suite 304
Northridge, CA 91324-6029
Phone (818) 886-3884

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision220
Removal of skin lesions956
Removal of skin cancer312
Removal or shaving of skin growth1-10
Skin biopsy767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10565CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph del Priore, DO, Apc Dermatology CurrentSince Jun 30, 2021 Accepting new patients
Skin and Beauty Center Inc Dermatology CurrentSince Sep 6, 2022 Accepting new patients
Skin and Beauty Center (SBC), Inc. CurrentSince Sep 6, 2022 Accepting new patients
Huntington Dermatology Medical Group Inc Dermatology CurrentSince May 18, 2021 Accepting new patients
Northridge Dermatology Associates Medical Group Inc Dermatology Current Accepting new patients
Healthcare Partners Affiliates Medical Group Dermatology CurrentSince Jul 24, 2011 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 24, 2011 Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients
Skin and Beauty Center (SBC), Inc. Dermatology Past Accepting new patients
Gabriele Aesthetics Dermatology PastSince Jul 11, 2011 Accepting new patients
Irradiance Medical Group Inc Procedural Dermatology PastSince Mar 1, 2002 Accepting new patients

Locations

191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126

2720 W Magnolia Blvd
Burbank, CA 91505
Phone (818) 842-8000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1577 E Chevy Chase Dr
Ste 320
Glendale, CA 91206
Phone (818) 246-4936

1818 Verdugo Blvd
Ste 304
Glendale, CA 91208
Phone (818) 790-3588

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

301 S Fair Oaks Ave
Ste 302
Pasadena, CA 91105
Phone (626) 792-2378

473 N Fair Oaks Ave
Pasadena, CA 91103
Phone (626) 792-2378

50 Bellefontaine St
Ste 104
Pasadena, CA 91105
Phone (626) 304-6300

800 Fairmount Ave
Ste 425
Pasadena, CA 91105
Phone (626) 449-9992

960 E Green St
Ste 108
Pasadena, CA 91106
Phone (626) 449-3830

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

3737 Moraga Ave
Ste B412
San Diego, CA 92117
Phone (858) 226-1881

23501 Cinema Dr
Ste 111
Valencia, CA 91355
Phone (661) 258-3811

7345 Medical Center Dr
Ste 310
West Hills, CA 91307
Phone (818) 884-8044

696 Hampshire Rd
Ste 110
Westlake Vlg, CA 91361
Phone (805) 230-1111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00155
  • Direct secure messaging: jpriore@dcm-ca.emadirect.md

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670025600000",
    "number": "1932372562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175363",
            "telephone_number": "828-292-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175363",
            "telephone_number": "828-292-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "473 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911033621",
            "country_code": "US",
            "telephone_number": "626-792-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL PRIORE",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A10565",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "20A10565",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "20A10565",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "20A10565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.