Active NPI 1013954908 Individual Practitioner Male Practitioner

Dr. Joseph A Samady , MD

Dermatology • Oceanside, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Samady, MD is a certified Dermatology practicing in Oceanside, CA. With approximately 30 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1996, Dr. Samady delivers high-quality medical care to the local community at 3629 VISTA WAY.

Dr. Samady is affiliated with Dermatology Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3629 Vista Way

Oceanside, CA 920564522

Telephone 7608289200

Fax 7608289141

Associated Practice Facility / Clinic

🏢 Dermatology Specialists Inc Facility NPI 1881631711

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Oceanside, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +12.8 yrs vs City Avg

City Avg: 17.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

17 Specialists

Practicing in Oceanside, CA (2182 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

14.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samady (30 Years) 30 Yrs

Oceanside Specialty Average (17.2 Years) 17.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,902	585	$8.26	$7.74
99213 Established patient office or other outpatient visit, typically 15 minutes	1,705	1,097	$107.42	$99.43
17000 Destruction of skin growth	1,056	770	$82.29	$64.04
11102 Tangential biopsy of single skin lesion	415	361	$123.89	$107.50
17110 Destruction of up to 14 skin growths	353	309	$140.65	$129.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	314	314	$130.09	$120.87
88305 Pathology examination of tissue using a microscope, intermediate complexity	242	158	$85.91	$81.21
11103 Biopsy of related skin growth, each additional growth	126	85	$61.99	$57.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	86	68	$210.99	$184.06
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	84	61	$432.31	$389.66
96574 Application of light with debridement to destroy precancer skin growth	58	50	$351.08	$325.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	51	$69.90	$62.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	13	$1.04	$0.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	24	$367.50	$337.73
17004 Destruction of precancer skin growth, 15 or more growths	24	22	$228.09	$189.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$156.61	$140.07
69100 Biopsy of ear	17	17	$116.90	$85.73
11900 Injection into skin growth, 1-7 growths	15	11	$67.46	$56.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$298.73	$137.68
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	12	$325.02	$297.88
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	13	13	$179.43	$163.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,743	557	$8.17	$7.79
99213 Established patient office or other outpatient visit, typically 15 minutes	1,707	1,051	$103.72	$98.59
17000 Destruction of skin growth	1,013	728	$79.88	$64.64
11102 Tangential biopsy of single skin lesion	386	333	$123.37	$110.49
17110 Destruction of up to 14 skin growths	292	256	$138.23	$128.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	269	269	$128.38	$121.78
88305 Pathology examination of tissue using a microscope, intermediate complexity	224	160	$84.56	$80.06
11103 Biopsy of related skin growth, each additional growth	92	74	$60.70	$57.68
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	82	71	$211.58	$191.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	69	$65.79	$62.50
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	66	60	$413.19	$384.72
96574 Application of light with debridement to destroy precancer skin growth	61	56	$346.74	$330.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$147.43	$139.01
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	23	$361.44	$319.95
11900 Injection into skin growth, 1-7 growths	22	16	$67.65	$58.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	16	$1.13	$1.06
69100 Biopsy of ear	21	20	$114.73	$91.55
17004 Destruction of precancer skin growth, 15 or more growths	21	18	$209.38	$192.42
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$222.31	$206.49
11104 Punch biopsy, first skin growth	16	16	$151.85	$144.94
88304 Pathology examination of tissue using a microscope, moderately low complexity	15	14	$51.60	$49.25
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	14	$331.49	$300.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,467	519	$8.35	$7.89
99213 Established patient office or other outpatient visit, typically 15 minutes	1,579	974	$106.18	$99.55
17000 Destruction of skin growth	993	699	$81.21	$64.94
11102 Tangential biopsy of single skin lesion	377	332	$128.19	$111.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	292	292	$132.32	$122.10
17110 Destruction of up to 14 skin growths	269	233	$140.85	$129.36
88305 Pathology examination of tissue using a microscope, intermediate complexity	214	155	$84.60	$79.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	86	$65.97	$62.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	91	69	$216.78	$182.95
11103 Biopsy of related skin growth, each additional growth	75	57	$63.69	$58.83
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	69	58	$414.56	$383.93
96574 Application of light with debridement to destroy precancer skin growth	57	51	$355.16	$333.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	30	$374.46	$343.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$153.70	$140.75
69100 Biopsy of ear	24	23	$120.14	$106.24
17004 Destruction of precancer skin growth, 15 or more growths	21	20	$205.87	$184.40
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$236.19	$214.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$290.97	$148.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	15	12	$1.26	$1.15
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$206.25	$112.04
11900 Injection into skin growth, 1-7 growths	14	12	$69.57	$52.84
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$87.06	$80.64
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$319.15	$304.91
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$354.72	$171.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,949	562	$7.87	$7.53
99213 Established patient office or other outpatient visit, typically 15 minutes	1,656	996	$105.13	$99.86
17000 Destruction of skin growth	1,071	732	$78.06	$62.82
11102 Tangential biopsy of single skin lesion	380	330	$125.58	$111.61
17110 Destruction of up to 14 skin growths	311	264	$136.99	$129.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	273	273	$129.63	$122.57
88305 Pathology examination of tissue using a microscope, intermediate complexity	266	183	$83.48	$79.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	110	$65.26	$62.17
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	115	91	$415.22	$386.74
96574 Application of light with debridement to destroy precancer skin growth	97	84	$355.42	$335.22
11103 Biopsy of related skin growth, each additional growth	89	66	$63.33	$60.52
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	75	67	$211.17	$192.85
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	29	$374.52	$341.58
17004 Destruction of precancer skin growth, 15 or more growths	28	27	$198.45	$188.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	12	$1.32	$1.26
69100 Biopsy of ear	24	23	$117.24	$103.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$155.67	$141.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$302.87	$140.40
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$313.89	$302.88
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$175.05	$142.93
10060 Simple or single drainage of skin abscess	13	13	$144.43	$133.65
11104 Punch biopsy, first skin growth	13	12	$155.16	$149.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,415	479	$7.21	$6.84
99213 Established patient office or other outpatient visit, typically 15 minutes	1,216	781	$86.27	$81.36
17000 Destruction of skin growth	929	631	$76.45	$61.11
11102 Tangential biopsy of single skin lesion	355	295	$118.71	$107.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	298	$123.53	$118.25
88305 Pathology examination of tissue using a microscope, intermediate complexity	240	155	$82.85	$78.38
17110 Destruction of up to 14 skin growths	207	183	$133.30	$123.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$123.55	$117.00
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	101	13	$144.33	$133.67
11103 Biopsy of related skin growth, each additional growth	84	58	$62.33	$59.79
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	78	58	$418.64	$392.91
96574 Application of light with debridement to destroy precancer skin growth	67	58	$323.17	$306.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	49	$205.70	$181.98
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$87.71	$81.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	48	$52.45	$50.00
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	28	$353.39	$339.07
17004 Destruction of precancer skin growth, 15 or more growths	27	24	$187.52	$177.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	23	13	$1.56	$1.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	18	$287.50	$137.94
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$217.69	$189.17
69100 Biopsy of ear	16	16	$117.87	$92.93
11900 Injection into skin growth, 1-7 growths	15	13	$65.62	$49.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,674	529	$6.42	$6.06
99213 Established patient office or other outpatient visit, typically 15 minutes	1,373	915	$83.80	$78.94
17000 Destruction of skin growth	1,011	707	$74.50	$60.14
11102 Tangential biopsy of single skin lesion	387	335	$114.77	$103.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	271	$121.86	$115.84
88305 Pathology examination of tissue using a microscope, intermediate complexity	263	183	$78.90	$75.13
17110 Destruction of up to 14 skin growths	219	193	$128.80	$119.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$122.23	$114.47
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	97	80	$417.15	$390.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	77	$51.71	$48.55
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$86.54	$81.61
11103 Biopsy of related skin growth, each additional growth	73	62	$61.92	$58.30
96574 Application of light with debridement to destroy precancer skin growth	72	67	$301.03	$286.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	49	43	$202.20	$183.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	35	$351.47	$331.16
17004 Destruction of precancer skin growth, 15 or more growths	29	26	$172.95	$164.63
69100 Biopsy of ear	27	25	$112.32	$85.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	12	$1.71	$1.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	22	$282.51	$140.08
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	17	$165.08	$137.81
11104 Punch biopsy, first skin growth	13	13	$143.35	$136.30
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$213.01	$202.66
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$349.20	$266.96
96573 Application of light by qualified health care professional to destroy precancer skin growth	11	11	$237.14	$226.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,372	510	$5.95	$5.54
99213 Established patient office or other outpatient visit, typically 15 minutes	1,309	868	$81.91	$76.48
17000 Destruction of skin growth	940	684	$75.11	$61.55
11100 Biopsy of single growth of skin and/or tissue	393	344	$121.34	$109.18
88305 Pathology examination of tissue using a microscope, intermediate complexity	278	194	$78.52	$73.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	204	$120.55	$113.03
17110 Destruction of up to 14 skin growths	163	143	$128.87	$119.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$120.71	$112.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	100	$49.56	$46.46
11101 Biopsy of each additional growth of skin and/or tissue	96	75	$36.78	$34.01
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	88	11	$141.10	$124.96
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$83.87	$78.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	62	21	$1.94	$1.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	48	43	$200.46	$171.20
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	37	32	$429.74	$398.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	32	$348.01	$322.13
69100 Biopsy of ear	27	25	$114.88	$83.83
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	26	23	$163.87	$138.90
96574 Application of light with debridement to destroy precancer skin growth	24	23	$289.26	$266.46
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	24	$286.40	$137.34
11900 Injection into skin growth, 1-7 growths	20	16	$63.66	$53.80
17004 Destruction of precancer skin growth, 15 or more growths	12	11	$163.22	$153.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,856	580	$7.69	$5.89
99213 Established patient office or other outpatient visit, typically 15 minutes	1,349	912	$100.09	$76.02
17000 Destruction of skin growth	1,058	738	$91.65	$61.06
11100 Biopsy of single growth of skin and/or tissue	392	352	$143.49	$106.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	287	$141.17	$111.40
88305 Pathology examination of tissue using a microscope, intermediate complexity	284	199	$95.50	$72.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	169	140	$62.09	$45.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$144.76	$111.95
17110 Destruction of up to 14 skin growths	132	126	$149.87	$115.54
11101 Biopsy of each additional growth of skin and/or tissue	82	67	$43.03	$33.80
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$105.24	$78.03
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	60	54	$246.89	$178.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	16	$2.16	$1.83
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	27	25	$196.11	$142.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	23	$401.75	$318.71
69100 Biopsy of ear	22	20	$144.24	$87.02
11900 Injection into skin growth, 1-7 growths	19	16	$73.50	$52.35
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	15	$319.41	$137.66
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	15	$319.11	$241.19
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	15	$223.79	$159.32
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$254.82	$194.68
88304 Pathology examination of tissue using a microscope, moderately low complexity	11	11	$57.58	$43.74

Medical Specialties & State Licenses

CMS Verified: 2020-02-10

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA A71411

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

070015116 (CA)

Hospital & Practice Group Affiliations

Dermatology Specialists Inc

1309 S Mission Rd A, Fallbrook, CA 920284168

Phone: 7607287546

Secondary Practice Locations

4765 Carmel Mountain Rd Ste 201

San Diego, CA 921306657

Phone: 8583697546

1309 S Mission Rd Ste A

Fallbrook, CA 920284168

Phone: 7607287546

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. David Wolf , MD

Dermatology

NPI 1134160823

Doctor of Medicine (M.D.)

Dr. Jay Grossman , MD

Dermatology

NPI 1275574253

Doctor of Medicine (M.D.)

Yasmin Anwar , PA

Physician Assistant

NPI 1588602247

Physician Assistant

Dr. Darryl Wong , MD

Dermatology

NPI 1952342693

Doctor of Medicine (M.D.)

Dr. Patricia Speelman , MD

Dermatology

NPI 1982641726

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2008

Registered at 3629 VISTA WAY, OCEANSIDE, CA 920564522 (Tel: 7608289200)

📍

Updated Business Mailing Address December 01, 2008

Registered at 3629 VISTA WAY, OCEANSIDE, CA 920564522 (Tel: 7608289200)

👤

Provider Name / Credentials Updated December 01, 2008

Recorded as JOSEPH SAMADY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2008

Dermatology (License #A71411 in CA)

🟢

Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013954908

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 01, 2006

Last Update: February 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3629 Vista Way

Oceanside, CA 920564522

Phone: 7608289200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.