NPI Details
Jay Applebaum, M.D. is a procedural dermatology dermatology in Tustin, CA with 46 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Jay Applebaum, M.D. NPI is 1740214618. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1980
The provider's business location address is:
17601 17TH ST STE 110
TUSTIN, CA
ZIP 92780-946
Phone: (714) 790-0005
Fax: (714) 699-2444
The NPI 1740214618 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 CLIA number assigned to this NPI record is 05D0896423 - physician office with a certificate type of Certificate of Compliance.
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.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Removal of skin tag, 1-15 skin tags (HCPCS:11200)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Simple or single drainage of skin abscess (HCPCS:10060)
- Biopsy of ear (HCPCS:69100)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Punch biopsy, first skin growth (HCPCS:11104)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Destruction of skin growth, 15 or more growths (HCPCS:17111)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/10/2006 and was last updated on 2/27/2020.
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 |
| 1 | 207NS0135X | Dermatology | Procedural Dermatology | G054219 | CALIFORNIA | Yes |
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 |
| 1 | 00G542191 | MEDICAID | CALIFORNIA | |
| 2 | G54219 | OTHER | CALIFORNIA | MEDICAL LICENSE |
| 3 | 05D0896423 | OTHER | CALIFORNIA | CLIA |
