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

Preferred Dermatology Physician Assistant Corporation

Organization Medical Physician Assistant · NPI 1639088594

Preferred Dermatology Physician Assistant Corporation provides Medical Physician Assistant services in Lakeport, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

475 N Forbes St Ste B
Lakeport, CA 95453-4725
Phone: (707) 606-6366
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1639088594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Hadfield — President · (707) 606-6636
Other names Hadfield Dermatology, A Physician Assistant Corporation
NPI enumeratedSeptember 4, 2026
Last updated in NPPESOctober 2, 2026
Certification dateOctober 2, 2026
Mailing address40 Clearlake Ave, Lakeport, CA 95453-3817

Other providers in Lakeport