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WEST OAK DERMATOLOGY INC
NPI 1003327545
Dermatology in Roseville, CA

Active since October 23, 2017CLIA 05D2154126 · Microscopy
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: August 16, 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 holds a CLIA Microscopy certificate valid through September 5, 2026 and 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
Phone(916) 755-0077
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
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2154126

West Oak Dermatology · Roseville, CA
Active · expires Sep 5, 2026
CLIA Number05D2154126
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorKathryn Gant
Laboratory Phone(916) 755-0077
Laboratory LocationWest Oak Dermatology258 Gibson Dr, Ste 140, Roseville, CA 95678
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANVIR SINGH
Dentist
258 GIBSON DR, STE 110
ROSEVILLE, CA 95678
Placer County (916) 630-7633
DR. SANVIR SINGH BADYAL DDS
Dentist
258 GIBSON DR, STE 110
ROSEVILLE, CA 95678
Placer County (916) 630-7633
KATHRYN BOYSE GANT M.D.
Dermatology
258 GIBSON DR, STE 140
ROSEVILLE, CA 95678
Placer County (916) 755-0077

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.

Does West Oak Dermatology Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2154126) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.