NORTH BAY DERMATOLOGY & SKIN CANCER CENTER P C
NPI 1295170629
Dermatology in Petaluma, CA

Active since April 29, 2013
106 LYNCH CREEK WAY, 8, PETALUMA, CA 94954(707) 763-6816(707) 763-1730 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Bay Dermatology & Skin Cancer Center P C NPPES

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

NORTH BAY DERMATOLOGY & SKIN CANCER CENTER P C (NPI 1295170629) is a healthcare organization registered as a dermatology in Petaluma, California and active in the NPI registry since April 2013. The organization lists Santiago A Centurion, President, as its authorized official.

NPPES Registry Identity

NPI1295170629
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTH BAY DERMATOLOGY & SKIN CANCER CENTER P C
Location Address106 LYNCH CREEK WAY, 8Petaluma, CA 94954-2356
Mailing Address106 Lynch Creek Way, 8Petaluma, CA 94954-2356 · (707) 763-6816 · Fax (707) 763-1730
Fax(707) 763-1730
Organization SubpartNo
Authorized OfficialSantiago A CenturionPresident · (707) 763-6816
Enumeration DateApril 29, 2013
Last NPPES UpdateJanuary 14, 2014
NPI 1295170629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A86638
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.
106 LYNCH CREEK WAY, Petaluma, CA 94954

Other Identifiers 1

Medicare UPINI07968CA

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 5

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

Surgery
106 LYNCH CREEK WAY, SUITE 9B
PETALUMA, CA 94954
Dermatology
106 LYNCH CREEK WAY, #8
PETALUMA, CA 94954
Specialist
106 LYNCH CREEK WAY, SUITE #8
PETALUMA, CA 94954
Case Management
106 LYNCH CREEK WAY, SUITE 9A
PETALUMA, CA 94954
Otolaryngology
106 LYNCH CREEK WAY, SUITE 9A
PETALUMA, CA 94954

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 North Bay Dermatology & Skin Cancer Center P C's NPI number?

The NPI number for North Bay Dermatology & Skin Cancer Center P C is 1295170629. It was assigned to this organization in the NPPES registry on April 29, 2013.

Where is North Bay Dermatology & Skin Cancer Center P C located?

North Bay Dermatology & Skin Cancer Center P C is located at 106 Lynch Creek Way 8, Petaluma, CA 94954. The listed phone number is (707) 763-6816.

What is North Bay Dermatology & Skin Cancer Center P C'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 North Bay Dermatology & Skin Cancer Center P C was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.