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

Pacific Dermatology Medical Associates, Inc

Organization Dermatology Physician · NPI 1710025994

Pacific Dermatology Medical Associates, Inc provides Dermatology Physician services in Stockton, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4553 Quail Lakes Dr
Stockton, CA 95207-5257
Phone: (209) 951-1133
Fax: (209) 951-4708
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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 number1710025994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Rohrer — Practice Administrator · (209) 951-1133
Other names Quail Lakes Dermatology
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4553 Quail Lakes Dr, Stockton, CA 95207-5257

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