Children's Specialist of San Diego - Div of Derm
NPI 1356408934ActiveOrganization· Dermatology, Pediatric Dermatology· San Diego, CA
Dermatology, Pediatric Dermatology in San Diego, California, registered in NPPES in January 2007, part of Children's Specialists of San Diego. The authorized official on file is Herbert C. Kimmons, M.D., President.
Overview
| NPI | 1356408934 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Children's Specialists of San Diego |
| NPI issued | Jan 2, 2007 |
| Last updated in NPPES | Apr 22, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Pediatric Dermatology Primary | 207NP0225X | — | — |
| Dermatology | 207N00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology, Pediatric Dermatology providers in San Diego
- 1053488981
- 1568533222
- 1528139383
- 1295198091
- 1477624138
- 1386715043
- 1932195567
- 1336777093
- 1790312841
- 1316408214
- 1659443505
- 1558577957
All Dermatology, Pediatric Dermatology providers in California →