GOLDEN STATE DERMATOLOGY, INC.
NPI 1407285240
Dermatology in Walnut Creek, CA

Active since November 02, 2013CLIA 05D0691462 · Microscopy
2255 YGNACIO VALLEY RD STE B1, WALNUT CREEK, CA 94598(925) 945-1127(925) 945-0804 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Jul 20, 2017 (2 updates tracked since 2017).

About Golden State Dermatology, Inc. NPPES

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

GOLDEN STATE DERMATOLOGY, INC. (NPI 1407285240) is a healthcare organization registered as a dermatology in Walnut Creek, California and active in the NPI registry since November 2013. The organization holds a CLIA Microscopy certificate valid through November 6, 2026 and lists Edward V Becker, President, as its authorized official.

NPPES Registry Identity

NPI1407285240
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGOLDEN STATE DERMATOLOGY, INC.
Location Address2255 YGNACIO VALLEY RD STE B1Walnut Creek, CA 94598-3335
Mailing Address2255 Ygnacio Valley Rd., Suite B-1Walnut Creek, CA 94598-3335 · (925) 945-7005 · Fax (925) 236-2784
Fax(925) 945-0804
Organization SubpartNo
Authorized OfficialEdward V BeckerPresident · (925) 945-7005
Enumeration DateNovember 2, 2013
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1407285240 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.
2255 YGNACIO VALLEY RD STE B1, Walnut Creek, CA 94598

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

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0691462

Golden State Dermatology Associates Inc · Walnut Creek, CA
Active · expires Nov 6, 2026
CLIA Number05D0691462
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorJay Zimmerman
Laboratory Phone(925) 945-7005
Laboratory LocationGolden State Dermatology Associates Inc2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Physician Assistant
2255 YGNACIO VALLEY RD STE B1
WALNUT CREEK, CA 94598
Dermatology
2255 YGNACIO VALLEY RD STE B1
WALNUT CREEK, CA 94598
Dermatology
2255 YGNACIO VALLEY RD STE B1
WALNUT CREEK, CA 94598
Physician Assistant (Surgical)
2255 YGNACIO VALLEY RD STE B1
WALNUT CREEK, CA 94598
Dermatology
2255 YGNACIO VALLEY RD STE B1
WALNUT CREEK, CA 94598

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 Golden State Dermatology, Inc.'s NPI number?

The NPI number for Golden State Dermatology, Inc. is 1407285240. It was assigned to this organization in the NPPES registry on November 2, 2013.

Where is Golden State Dermatology, Inc. located?

Golden State Dermatology, Inc. is located at 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598. The listed phone number is (925) 945-1127.

What is Golden State Dermatology, Inc.'s specialty?

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

Does Golden State Dermatology, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0691462) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden State Dermatology, Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.