South Bay Skin & Cancer Medical Group, Inc.
NPI 1033289574 · Procedural Dermatology Physician · Chula Vista, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Bay Skin & Cancer Medical Group, Inc. is a Procedural Dermatology Physician organization in Chula Vista, CA (NPI 1033289574).
Provider details
- NPI number
- 1033289574
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Rullan, Medical Director(619) 426-9600
- License
- G42243 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Frequently asked questions
- What is South Bay Skin & Cancer Medical Group, Inc.'s NPI number?
- South Bay Skin & Cancer Medical Group, Inc.'s National Provider Identifier (NPI) is 1033289574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Bay Skin & Cancer Medical Group, Inc.?
- South Bay Skin & Cancer Medical Group, Inc. is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is South Bay Skin & Cancer Medical Group, Inc. located?
- South Bay Skin & Cancer Medical Group, Inc.'s practice location on file with NPPES is 256 Landis Ave, Chula Vista, CA 91910-2650.
- What is South Bay Skin & Cancer Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for South Bay Skin & Cancer Medical Group, Inc. is (619) 426-9600.
- Does South Bay Skin & Cancer Medical Group, Inc. accept Medicare?
- South Bay Skin & Cancer Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Bay Skin & Cancer Medical Group, Inc.?
- The authorized official listed on South Bay Skin & Cancer Medical Group, Inc.'s NPPES record is Peter Rullan, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Bay Skin & Cancer Medical Group, Inc.'s NPI active?
- Yes — South Bay Skin & Cancer Medical Group, Inc.'s NPI (1033289574) is active in the NPPES registry as of the last update on 2022-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.