Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dimitri De Kouchkovsky, MD-PHD

Individual provider Dermatology Physician · NPI 1851977292

Dimitri De Kouchkovsky, MD-PHD is a Dermatology in Oceanside, California. Graduated from Yale University School of Medicine in 2021, 5 years ago. Practices with Dermatologist Medical Group of North County Inc, a 19-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Yale University School of Medicine
Licensed in
CA
In the registry since
2021

Practice location Address checks out

3613 Vista Way
Oceanside, CA 92056-4522
Phone: (760) 758-5340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A181607 (CA)

Record details

NPI number1851977292
Entity typeIndividual (Type 1)
GenderMale
Credentials MD-PHD
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESJanuary 1, 2026
Certification dateJanuary 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Dermatologist Medical Group Of North County Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oceanside