Coastal Medical and Cosmetic Dermatology Inc
NPI 1346488004 · Dermatology Physician · La Jolla, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Medical and Cosmetic Dermatology Inc is a Dermatology Physician organization in La Jolla, CA (NPI 1346488004).
Provider details
- NPI number
- 1346488004
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Darrell Gonzales, Owner, President, Cfo(858) 657-0267
- License
- A88738 (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
17 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
- 2009-02-03
- Last updated
- 2015-12-17
Frequently asked questions
- What is Coastal Medical and Cosmetic Dermatology Inc's NPI number?
- Coastal Medical and Cosmetic Dermatology Inc's National Provider Identifier (NPI) is 1346488004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Medical and Cosmetic Dermatology Inc?
- Coastal Medical and Cosmetic Dermatology Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Medical and Cosmetic Dermatology Inc located?
- Coastal Medical and Cosmetic Dermatology Inc's practice location on file with NPPES is 9850 Genesee Ave Ste 500, La Jolla, CA 92037-1213.
- What is Coastal Medical and Cosmetic Dermatology Inc's phone number?
- The practice phone number listed in the NPPES registry for Coastal Medical and Cosmetic Dermatology Inc is (858) 657-0267.
- Does Coastal Medical and Cosmetic Dermatology Inc accept Medicare?
- Coastal Medical and Cosmetic Dermatology 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 Coastal Medical and Cosmetic Dermatology Inc?
- The authorized official listed on Coastal Medical and Cosmetic Dermatology Inc's NPPES record is Darrell Gonzales, Owner, President, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Medical and Cosmetic Dermatology Inc's NPI active?
- Yes — Coastal Medical and Cosmetic Dermatology Inc's NPI (1346488004) is active in the NPPES registry as of the last update on 2015-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.