DR. COLE BRADFORD WILLOUGHBY M.D. NPI 1659375301

NPI Information

  • NPI: 1659375301
  • Provider Name: DR. COLE BRADFORD WILLOUGHBY, M.D.
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 319 F ST
    STE 102
    CHULA VISTA, CA
    ZIP 91910
  • Phone: (619) 476-1200

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NPI Details

DR. Cole Bradford Willoughby, M.D. is a dermatopathology dermatology in Chula Vista, CA with 58 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DR. Cole Bradford Willoughby, M.D. NPI is 1659375301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1968

The provider's business location address is:

319 F ST
STE 102
CHULA VISTA, CA
ZIP 91910-666
Phone: (619) 476-1200
Fax: (619) 420-7849

The NPI 1659375301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • High dose rate electronic brachytherapy, external (HCPCS:0394T)
  • Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less (HCPCS:77600)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/10/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyC36597CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100C365970MEDICAIDCALIFORNIA
2A87865MEDICARE UPINCALIFORNIA
3WC36597BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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