WALNUT CREEK DERMATOLOGY
NPI 1265161368
Dermatology in Pleasant Hill, CA

Active since June 06, 2022CLIA 05D2286728 · Waiver
3147 PUTNAM BLVD, PLEASANT HILL, CA 94523(925) 391-9439 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walnut Creek Dermatology NPPES

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

WALNUT CREEK DERMATOLOGY (NPI 1265161368) is a healthcare organization registered as a dermatology in Pleasant Hill, California and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Paige D Radell, Doctor, as its authorized official.

NPPES Registry Identity

NPI1265161368
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWALNUT CREEK DERMATOLOGY
Location Address3147 PUTNAM BLVDPleasant Hill, CA 94523-4686
Mailing Address3147 Putnam BlvdPleasant Hill, CA 94523-4686 · (925) 391-9439
Organization SubpartNo
Authorized OfficialPaige D RadellDoctor · (925) 391-9439
Enumeration DateJune 6, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1265161368 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.
3147 PUTNAM BLVD, Pleasant Hill, CA 94523

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 Waiver 05D2286728

Walnut Creek Dermatology · Pleasant Hill, CA
Active · expires Aug 1, 2027
CLIA Number05D2286728
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorPaige Radell
Laboratory Phone(925) 391-9439
Laboratory LocationWalnut Creek Dermatology3147 Putnam Blvd, Pleasant Hill, CA 94523
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Chiropractor (Independent Medical Examiner)
3147 PUTNAM BLVD, SUITE E
PLEASANT HILL, CA 94523
Dentist (General Practice)
3147 PUTNAM BLVD, STE. B
PLEASANT HILL, CA 94523
Dentist (General Practice)
3147 PUTNAM BLVD, SUITE B
PLEASANT HILL, CA 94523
Dermatology
3147 PUTNAM BLVD
PLEASANT HILL, CA 94523

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 Walnut Creek Dermatology's NPI number?

The NPI number for Walnut Creek Dermatology is 1265161368. It was assigned to this organization in the NPPES registry on June 6, 2022.

Where is Walnut Creek Dermatology located?

Walnut Creek Dermatology is located at 3147 Putnam Blvd, Pleasant Hill, CA 94523. The listed phone number is (925) 391-9439.

What is Walnut Creek Dermatology's specialty?

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

Does Walnut Creek Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2286728) is associated with this NPI, valid through August 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walnut Creek Dermatology was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.