San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.
NPI 1447334396 · Dermatology Physician · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. is a Dermatology Physician organization in San Diego, CA (NPI 1447334396).
Provider details
- NPI number
- 1447334396
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fred Shahan, President(619) 287-1882
- License
- G83901 (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
- 2006-10-25
- Last updated
- 2012-12-26
Frequently asked questions
- What is San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.'s NPI number?
- San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.'s National Provider Identifier (NPI) is 1447334396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.?
- San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. located?
- San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.'s practice location on file with NPPES is 6367 Alvarado Ct, San Diego, CA 92120-4904.
- What is San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. is (619) 287-1882.
- Does San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. accept Medicare?
- San Diego Dermatology and Cosmetic Surgery 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 San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.?
- The authorized official listed on San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.'s NPPES record is Fred Shahan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.'s NPI active?
- Yes — San Diego Dermatology and Cosmetic Surgery Medical Group, Inc.'s NPI (1447334396) is active in the NPPES registry as of the last update on 2012-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.