DR. DAVID ALLEN SOUTH MD
NPI 1053470468
Dermatology in Freedom, CA

Active since December 08, 2006
204 GREEN VALLEY ROAD, FREEDOM, CA 95019(831) 728-2005(831) 728-3310 Get Directions Write a Review

NPPES record last updated: June 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Allen South Md NPPES

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

DR. DAVID ALLEN SOUTH MD (NPI 1053470468) is an individual dermatology provider in Freedom, California, licensed in California (G30108) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1053470468
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. DAVID ALLEN SOUTHCredential: MD
Location Address204 GREEN VALLEY ROADFreedom, CA 95019
Mailing Address204 Green Valley RoadFreedom, CA 95019 · (831) 728-2005 · Fax (831) 728-3310
Fax(831) 728-3310
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJune 5, 2009
NPI 1053470468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G30108
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.

204 GREEN VALLEY ROAD, Freedom, CA 95019

Other Identifiers 4

Medicare UPINA44289
Medicare ID-Type Unspecified070007468Railroad
Medicare ID-Type UnspecifiedZZZ29084Z
Medicaid00G301080CA

Other Providers at the Same Location NPPES

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

Dermatology
204 GREEN VALLEY ROAD
FREEDOM, CA 95019

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 David South's NPI number?

The NPI number for David South is 1053470468. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is David South located?

David South practices at 204 Green Valley Road, Freedom, CA 95019. The listed phone number is (831) 728-2005.

What is David South's specialty?

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

When was this NPI record last updated?

The NPPES record for David South was last updated on June 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.