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INTEGRATED DERMATOLOGY OF SANTA ROSA, PC
NPI 1508441247
Dermatology in Santa Rosa, CA

Active since March 15, 2021
6574 OAKMONT DR STE B, SANTA ROSA, CA 95409(707) 579-4239 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2021, Mar 15, 2021 (2 updates tracked since 2021).

About Integrated Dermatology Of Santa Rosa, Pc NPPES

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

INTEGRATED DERMATOLOGY OF SANTA ROSA, PC (NPI 1508441247) is a healthcare organization registered as a dermatology in Santa Rosa, California and active in the NPI registry since March 2021. The organization lists Jennifer T. Haley, Authorized Group Official, as its authorized official.

NPPES Registry Identity

NPI1508441247
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF SANTA ROSA, PC
Location Address6574 OAKMONT DR STE BSanta Rosa, CA 95409-5958
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Phone(707) 579-4239
Organization SubpartNo
Authorized OfficialJennifer T. HaleyAuthorized Group Official · (561) 314-2000
Enumeration DateMarch 15, 2021
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1508441247 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.
6574 OAKMONT DR STE B, Santa Rosa, CA 95409
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Dermatology Of Santa Rosa, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Integrated Dermatology Of Santa Rosa, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Jeffrey Collins, D.O.
Dermatology
NPI 1174942403
6574 OAKMONT DR STE B
Santa Rosa, CA 95409
(707) 579-4239
✔ PECOS✔ Accepts MedicareSame address
Katherine Given, MD, PHD
Micrographic Dermatologic Surgery (MDS)
NPI 1124476296
6574 OAKMONT DR STE B
Santa Rosa, CA 95409
(707) 579-4239
✔ PECOS✔ Accepts MedicareSame address
Julie Plante, MD
Dermatology
NPI 1346426848
6574 OAKMONT DR STE B
Santa Rosa, CA 95409
(707) 542-5664
✔ PECOS✔ Accepts MedicareSame address
Christen Thompson, A.R.N.P.
Nurse Practitioner
NPI 1801820956
990 SONOMA AVE STE 2
Santa Rosa, CA 95404
(707) 579-4239
✔ PECOS✔ Accepts Medicare5.2 mi
Dale Westrom, M.D., PH.D.
Dermatology
NPI 1922032077
990 SONOMA AVE STE 2
Santa Rosa, CA 95404
(707) 579-4239
✔ PECOS5.2 mi
Susan Amaturo, M.D.
Dermatology
NPI 1720012875
1002 MENDOCINO AVE
Santa Rosa, CA 95401
(707) 577-8292
✔ PECOS✔ Accepts Medicare6.1 mi
Megan Furniss, D.O.
Dermatology
NPI 1528359577
5144 HILL RD E
Lakeport, CA 95453
(707) 263-8955
✔ PECOS✔ Accepts Medicare49 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Integrated Dermatology Of Santa Rosa, PC's NPI number?

The NPI number for Integrated Dermatology Of Santa Rosa, PC is 1508441247. It was assigned to this organization in the NPPES registry on March 15, 2021.

Where is Integrated Dermatology Of Santa Rosa, PC located?

Integrated Dermatology Of Santa Rosa, PC is located at 6574 Oakmont Dr Ste B, Santa Rosa, CA 95409. The listed phone number is (707) 579-4239.

What is Integrated Dermatology Of Santa Rosa, PC's specialty?

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

Is Integrated Dermatology Of Santa Rosa, PC enrolled in Medicare?

Yes. Integrated Dermatology Of Santa Rosa, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Dermatology Of Santa Rosa, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Integrated Dermatology Of Santa Rosa, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (5), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Santa Rosa, PC was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.