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

Integrated Dermatology of Santa Rosa, PC

Organization Dermatology Physician · NPI 1508441247

Integrated Dermatology of Santa Rosa, PC provides Dermatology Physician services in Santa Rosa, 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

6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958
Phone: (707) 579-4239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1508441247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Haley — Authorized Group Official · (561) 314-2000
NPI enumeratedMarch 15, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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