OrganizationActive
Children'S Specialist of San Diego - Div of Derm
NPI 1356408934 · Pediatric Dermatology Physician · San Diego, CA
Provider details
- NPI number
- 1356408934
- Entity type
- Organization
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Children'S Specialists of San Diego
- Organization subpart
- Yes
- Authorized official
- Herbert Kimmons, President(858) 966-8567
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
8010 Frost St
Suite 602
San Diego, CA 92123-2778
Phone: (858) 966-6795
Street-level locationGet directions
Mailing address
3860 Calle Fortunada
San Diego, CA 92123-4800
Other names (DBA / former)
- Former legal business name
- Children'S Associated Medical Group
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2008-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.