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

North Bay Dermatology Associates

Organization Specialist · NPI 1275622664

North Bay Dermatology Associates provides Specialist services in Petaluma, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

106 Lynch Creek Way Ste #8
Petaluma, CA 94954-2356
Phone: (707) 763-6816
Fax: (707) 763-1730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1275622664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Santiago Centurion — Practice Owner · (707) 763-6816
Other names North Bay Dermatology; Glenn A. Koby, Md
NPI enumeratedOctober 12, 2006
Last updated in NPPESJune 25, 2019
Mailing address106 Lynch Creek Way, Suite #8, Petaluma, CA 94954-2356

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