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MOUNTAIN WEST DERM CALIFORNIA PC
NPI 1205346061
Dermatology in Truckee, CA

Active since October 06, 2017
10870 BROCKWAY RD, TRUCKEE, CA 96161(530) 550-0440(530) 582-8853 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain West Derm California Pc NPPES

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

MOUNTAIN WEST DERM CALIFORNIA PC (NPI 1205346061) is a healthcare organization registered as a dermatology in Truckee, California and active in the NPI registry since October 2017. The organization lists Bret Blackhart, Md, as its authorized official.

NPPES Registry Identity

NPI1205346061
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMOUNTAIN WEST DERM CALIFORNIA PC
Location Address10870 BROCKWAY RDTruckee, CA 96161
Mailing Address10870 Brockway RdTruckee, CA 96161-2054 · (530) 550-0440 · Fax (530) 582-8853
Phone(530) 550-0440
Fax(530) 582-8853
Organization SubpartNo
Authorized OfficialBret BlackhartMd · (775) 560-8668
Enumeration DateOctober 6, 2017
Last NPPES UpdateAugust 13, 2018
✔ NPI 1205346061 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.
10870 BROCKWAY RD, Truckee, CA 96161
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. JOHN THOMAS HIBLER DO
Dermatology
10870 BROCKWAY RD
TRUCKEE, CA 96161
Placer County (530) 550-0440
RENEWAL DERMATOLOGY AND LASER, APMC
Dermatology
10870 BROCKWAY RD
TRUCKEE, CA 96161
Placer County (530) 550-0440
DR. DIANNE C KAMENETSKY MD
Dermatology
10870 BROCKWAY RD
TRUCKEE, CA 96161
Placer County (530) 550-0440

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 Mountain West Derm California PC's NPI number?

The NPI number for Mountain West Derm California PC is 1205346061. It was assigned to this organization in the NPPES registry on October 6, 2017.

Where is Mountain West Derm California PC located?

Mountain West Derm California PC is located at 10870 Brockway Rd, Truckee, CA 96161. The listed phone number is (530) 550-0440.

What is Mountain West Derm California 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 Mountain West Derm California PC 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.