WEST OAK DERMATOLOGY INC
NPI 1003327545
Dermatology in Roseville, CA

Active since October 23, 2017
258 GIBSON DR, STE 140, ROSEVILLE, CA 95678(916) 755-0077(916) 755-0099 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2018, Oct 23, 2017 (2 updates tracked since 2017).

About West Oak Dermatology Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST OAK DERMATOLOGY INC (NPI 1003327545) is a healthcare organization registered as a dermatology in Roseville, California and active in the NPI registry since October 2017. The organization lists Kathryn Boyse Gant, Owner, as its authorized official.

NPPES Registry Identity

NPI1003327545
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWEST OAK DERMATOLOGY INC
Location Address258 GIBSON DR, STE 140Roseville, CA 95678-5881
Mailing Address258 Gibson Dr, Ste 140Roseville, CA 95678-5881 · (916) 755-0077 · Fax (916) 755-0099
Fax(916) 755-0099
Organization SubpartNo
Authorized OfficialKathryn Boyse GantOwner · (916) 755-0077
Enumeration DateOctober 23, 2017
Last NPPES UpdateAugust 13, 20182 updates tracked since enumeration
✔ NPI 1003327545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 123615
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
258 GIBSON DR, Roseville, CA 95678

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Oak Dermatology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to West Oak Dermatology Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1598981763
258 GIBSON DR STE 140
Roseville, CA 95678
(916) 755-0077
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568401735
1544 EUREKA RD STE 160
Roseville, CA 95661
(916) 772-0200
✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Oak Dermatology Inc's NPI number?

The NPI number for West Oak Dermatology Inc is 1003327545. It was assigned to this organization in the NPPES registry on October 23, 2017.

Where is West Oak Dermatology Inc located?

West Oak Dermatology Inc is located at 258 Gibson Dr Ste 140, Roseville, CA 95678. The listed phone number is (916) 755-0077.

What is West Oak Dermatology Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is West Oak Dermatology Inc enrolled in Medicare?

Yes. West Oak Dermatology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Oak Dermatology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to West Oak Dermatology Inc, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for West Oak Dermatology Inc was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.