Unknown Individual – Procedural Dermatology Physician, NPI 1003996828
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
514, South Magnolia Avenue, Little Baghdad, El Cajon, San Diego County, California, 92020, United States
EL CAJON, CA 920206011
Phone: (619) 442-4468
Fax: (619) 442-6432
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $346.
Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.
Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($238).
Total Amount
$346
General + Research + Ownership
Payments
17
Total payment records
General Amount
$346
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $238 |
| ABBVIE INC. | $83 |
| Lilly USA, LLC | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 917 | 179 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 727 | 361 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 365 | 133 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 342 | 131 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 298 | 213 | $0 |
Insurance plans in this area (ZIP 92020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Dermatology, Pathology | CA |
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