MODESTO DERMATOLOGY AND SKIN CANCER PC
NPI 1093079485
Dermatology in Modesto, CA

Active since June 29, 2012
3105 MCHENRY AVE, MODESTO, CA 95350(209) 575-2700 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modesto Dermatology And Skin Cancer Pc NPPES

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

MODESTO DERMATOLOGY AND SKIN CANCER PC (NPI 1093079485) is a healthcare organization registered as a dermatology in Modesto, California and active in the NPI registry since June 2012. The organization lists Daniel Taheri, President, as its authorized official.

NPPES Registry Identity

NPI1093079485
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMODESTO DERMATOLOGY AND SKIN CANCER PC
Location Address3105 MCHENRY AVEModesto, CA 95350-1439
Mailing AddressPo Box 496084Redding, CA 96049-6084 · (209) 575-2700
Organization SubpartNo
Authorized OfficialDaniel TaheriPresident · (209) 575-2700
Enumeration DateJune 29, 2012
NPI 1093079485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3105 MCHENRY AVE, Modesto, CA 95350

Other Identifiers 1

OtherFNP42965CA · Fnp

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

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 Modesto Dermatology And Skin Cancer PC's NPI number?

The NPI number for Modesto Dermatology And Skin Cancer PC is 1093079485. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is Modesto Dermatology And Skin Cancer PC located?

Modesto Dermatology And Skin Cancer PC is located at 3105 Mchenry Ave, Modesto, CA 95350. The listed phone number is (209) 575-2700.

What is Modesto Dermatology And Skin Cancer PC'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 Modesto Dermatology And Skin Cancer PC was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.