DERMATOLOGY ASSOCIATES OF SONOMA COUNTY
NPI 1154496248
Specialist in Santa Rosa, CA

Q: What is Redwood Empire Dermatology Inc's NPI number?

The NPI number for Redwood Empire Dermatology Inc is 1154496248. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as Dermatology Associates Of Sonoma County.

Q: What is Redwood Empire Dermatology Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 22, 2006CLIA 05D0611720 · Certificate of Compliance

990 SONOMA AVE STE 2, SANTA ROSA, CA 95404(707) 579-4239(707) 579-0459 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Dermatology Associates Of Sonoma County NPPES

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

DERMATOLOGY ASSOCIATES OF SONOMA COUNTY (NPI 1154496248) is a healthcare organization registered as a specialist in Santa Rosa, California and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 18, 2027 and lists Dale Raymond Westrom, President, as its authorized official.

NPPES Registry Identity

NPI1154496248

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameREDWOOD EMPIRE DERMATOLOGY INC

Location Address990 SONOMA AVE STE 2Santa Rosa, CA 95404-4813

Mailing Address990 Sonoma Ave Ste 2Santa Rosa, CA 95404-4813 · (707) 579-4239 · Fax (707) 579-0459

Phone(707) 579-4239

Fax(707) 579-0459

Organization SubpartNo

Authorized OfficialDale Raymond WestromPresident · (707) 579-4239

Enumeration DateNovember 22, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1154496248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

990 SONOMA AVE STE 2, Santa Rosa, CA 95404

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Other Names 1

Doing Business AsDermatology Associates Of Sonoma County

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 of Compliance 05D0611720

Redwood Empire Dermatology, Inc Dba Dermatology Associates Of Sonoma County · Santa Rosa, CA

Active · expires Sep 18, 2027

CLIA Number05D0611720

Laboratory TypePhysician Office

Certificate Effective DateSeptember 19, 2025

Certificate Expiration DateSeptember 18, 2027

Laboratory DirectorDr. Jeffrey Collins Do

Laboratory Phone(707) 579-4239

Laboratory LocationRedwood Empire Dermatology, Inc Dba Dermatology Associates Of Sonoma County6574 Oakmont Dr, Ste B, Santa Rosa, CA 95409

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

CARLA M EVANS FNP

Nurse Practitioner