Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Dermatology of Roseville, PC

Organization Dermatology Physician · NPI 1811586134

Integrated Dermatology of Roseville, PC provides Dermatology Physician services in Roseville, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1412 Blue Oaks Blvd
Roseville, CA 95747-7143
Phone: (916) 784-7546
Fax: (916) 784-7548
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1811586134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Haley — Authorized Group Official · (561) 314-2000
Other names Select Or Enter; Select Or Enter
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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