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LOMA LINDA DERMATOLOGY MEDICAL GROUP
NPI 1083791644
Dermatology in Loma Linda, CA

Active since November 01, 2006
25815 BARTON ROAD, SUITE 101, LOMA LINDA, CA 92354(909) 796-0224(909) 796-0225 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Loma Linda Dermatology Medical Group NPPES

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

LOMA LINDA DERMATOLOGY MEDICAL GROUP (NPI 1083791644) is a healthcare organization registered as a dermatology in Loma Linda, California and active in the NPI registry since November 2006. The organization lists Kenneth D Macknet, Vice President, as its authorized official.

NPPES Registry Identity

NPI1083791644
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameK. D. MACKNET, M.D., INC.
Location Address25815 BARTON ROAD, SUITE 101Loma Linda, CA 92354-3894
Mailing Address25815 Barton Road, Suite 101Loma Linda, CA 92354-3894 · (909) 796-0224 · Fax (909) 796-0225
Phone(909) 796-0224
Fax(909) 796-0225
Organization SubpartNo
Authorized OfficialKenneth D MacknetVice President · (909) 796-0224
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 16, 2017
✔ NPI 1083791644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
25815 BARTON ROAD, Loma Linda, CA 92354
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Other Names 1

Doing Business AsLoma Linda Dermatology Medical Group

Other Identifiers 5

Medicare UPINH14468CA
Medicare UPINA40349CA
Other05D0687031CA · Clia
MedicaidA63594CA
Other1083791644Npi

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 K. D. Macknet, M.D., Inc.'s NPI number?

The NPI number for K. D. Macknet, M.D., Inc. is 1083791644. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Loma Linda Dermatology Medical Group.

Where is K. D. Macknet, M.D., Inc. located?

K. D. Macknet, M.D., Inc. is located at 25815 Barton Road Suite 101, Loma Linda, CA 92354. The listed phone number is (909) 796-0224.

What is K. D. Macknet, M.D., Inc.'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 K. D. Macknet, M.D., Inc. was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.