OrganizationActive
Dermatology Specialists Ins
NPI 1457541260 · Dermatology Physician · Fallbrook, CA
Provider details
- NPI number
- 1457541260
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jane Lisk, Administrator(760) 757-7546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1309 S Mission Rd # a
Fallbrook, CA 92028-4007
Phone: (760) 728-7546
Fax: (760) 723-6208
Street-level locationGet directions
Mailing address
3629 Vista Way
Oceanside, CA 92056-4522
Registry dates
- Enumerated
- 2007-07-27
- Last updated
- 2008-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.