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DIRECT DERMATOLOGY PROFESSIONALS PC
NPI 1417263922
Dermatology in Manteca, CA

Active since August 20, 2010
165 SAINT DOMINICS DR STE 120, MANTECA, CA 95337(510) 241-2884(800) 572-0683 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Direct Dermatology Professionals Pc NPPES

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

DIRECT DERMATOLOGY PROFESSIONALS PC (NPI 1417263922) is a healthcare organization registered as a dermatology in Manteca, California and active in the NPI registry since August 2010. The organization maintains 5 additional practice locations and lists David Wong, President, as its authorized official.

NPPES Registry Identity

NPI1417263922
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDIRECT DERMATOLOGY PROFESSIONALS PC
Location Address165 SAINT DOMINICS DR STE 120Manteca, CA 95337-7802
Mailing Address3000 El Camino Real Ste 4-200Palo Alto, CA 94306-2108 · (510) 241-2884 · Fax (800) 572-0683
Phone(510) 241-2884
Fax(800) 572-0683
Organization SubpartNo
Authorized OfficialDavid WongPresident · (510) 241-2884
Enumeration DateAugust 20, 2010
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1417263922 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.
165 SAINT DOMINICS DR STE 120, Manteca, CA 95337
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Secondary Practice Locations 5

Location 1632 E Romie LnSalinas, CA 93901-4206 · Phone (510) 241-2884 · Fax (800) 572-0683
Location 28100 Timberlake Way Ste FSacramento, CA 95823-5409 · Phone (510) 241-2884 · Fax (800) 572-0683
Location 3450 E Yosemite Ave Ste AMerced, CA 95340-8429 · Phone (510) 241-2884 · Fax (800) 572-0683
Location 4311 W I StLos Banos, CA 93635-3479 · Phone (510) 241-2884 · Fax (800) 572-0683
Location 5347 E Barstow Ave Ste 104Fresno, CA 93710-6039 · Phone (510) 241-2884 · Fax (800) 572-0683

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

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

JENNIFER LEE QUACH
Physician Assistant
165 SAINT DOMINICS DR STE 120
MANTECA, CA 95337
San Joaquin County (510) 241-2884

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 Direct Dermatology Professionals PC's NPI number?

The NPI number for Direct Dermatology Professionals PC is 1417263922. It was assigned to this organization in the NPPES registry on August 20, 2010.

Where is Direct Dermatology Professionals PC located?

Direct Dermatology Professionals PC is located at 165 Saint Dominics Dr Ste 120, Manteca, CA 95337. The listed phone number is (510) 241-2884.

What is Direct Dermatology Professionals 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 Direct Dermatology Professionals PC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.