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QUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC.
NPI 1275536872
Specialist in Stockton, CA

Active since May 27, 2005
4553 QUAIL LAKES DR, STOCKTON, CA 95207(209) 951-1133(209) 951-4708 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Quail Lakes Dermatology Medical Associates, Inc. NPPES

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

QUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC. (NPI 1275536872) is a healthcare organization registered as a specialist in Stockton, California and active in the NPI registry since May 2005. The organization lists Kyle Wayne Herbold, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1275536872
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameQUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC.
Location Address4553 QUAIL LAKES DRStockton, CA 95207-5257
Mailing Address4553 Quail Lakes DrStockton, CA 95207-5257 · (209) 951-1133 · Fax (209) 951-4708
Phone(209) 951-1133
Fax(209) 951-4708
Organization SubpartNo
Authorized OfficialKyle Wayne HerboldDermatologist · (209) 951-1133
Enumeration DateMay 27, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275536872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A068815
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.
4553 QUAIL LAKES DR, Stockton, CA 95207
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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

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.

WALTER STANLEY YOURCHEK MD
Dermatology
4553 QUAIL LAKES DR
STOCKTON, CA 95207
San Joaquin County (209) 951-1133
KYLE WAYNE HERBOLD M.D.
Dermatology
4553 QUAIL LAKES DR
STOCKTON, CA 95207
San Joaquin County (209) 951-1133
DR. MY TIEN VO DC
Chiropractor
4553 QUAIL LAKES DR
STOCKTON, CA 95207
San Joaquin County (209) 990-8461
PACIFIC DERMATOLOGY MEDICAL ASSOCIATES, INC
Dermatology
4553 QUAIL LAKES DR
STOCKTON, CA 95207
San Joaquin County (209) 951-1133

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 Quail Lakes Dermatology Medical Associates, Inc.'s NPI number?

The NPI number for Quail Lakes Dermatology Medical Associates, Inc. is 1275536872. It was assigned to this organization in the NPPES registry on May 27, 2005.

Where is Quail Lakes Dermatology Medical Associates, Inc. located?

Quail Lakes Dermatology Medical Associates, Inc. is located at 4553 Quail Lakes Dr, Stockton, CA 95207. The listed phone number is (209) 951-1133.

What is Quail Lakes Dermatology Medical Associates, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Quail Lakes Dermatology Medical Associates, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.