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NORCAL DERMATOLOGY MEDICAL SURGICAL COSMETIC
NPI 1881839520
Clinic/Center - Medical Specialty in Santa Rosa, CA

Active since December 10, 2008
196 WIKIUP DR, SANTA ROSA, CA 95403(707) 527-9517(707) 527-9913 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2022, Apr 29, 2021, Jul 31, 2017 (3 updates tracked since 2017).

About Norcal Dermatology Medical Surgical Cosmetic NPPES

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

NORCAL DERMATOLOGY MEDICAL SURGICAL COSMETIC (NPI 1881839520) is a healthcare organization registered as a medical specialty in Santa Rosa, California and active in the NPI registry since December 2008. The organization lists Alicia Brophy, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1881839520
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORCAL SKIN DISEASE AND SURGERY INC
Location Address196 WIKIUP DRSanta Rosa, CA 95403-7773
Mailing Address196 Wikiup DrSanta Rosa, CA 95403-7773 · (707) 527-9517 · Fax (707) 527-9913
Phone(707) 527-9517
Fax(707) 527-9913
Organization SubpartNo
Authorized OfficialAlicia BrophyPractice Manager · (707) 527-9517
Enumeration DateDecember 10, 2008
Last NPPES UpdateNovember 22, 20223 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1881839520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · A55665
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
196 WIKIUP DR, Santa Rosa, CA 95403
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Other Names 1

Doing Business AsNorcal Dermatology Medical Surgical Cosmetic

Other Providers at the Same Location NPPES 2

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

DR. HENRY ERIC DEGROOT MD
Dermatology
196 WIKIUP DR
SANTA ROSA, CA 95403
Sonoma County (707) 527-9517
DR. KHANH YEN TRUONG M.D.
Dermatology
196 WIKIUP DR
SANTA ROSA, CA 95403
Sonoma County (075) 279-5177

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 Norcal Skin Disease And Surgery Inc's NPI number?

The NPI number for Norcal Skin Disease And Surgery Inc is 1881839520. It was assigned to this organization in the NPPES registry on December 10, 2008. The provider is doing business as Norcal Dermatology Medical Surgical Cosmetic.

Where is Norcal Skin Disease And Surgery Inc located?

Norcal Skin Disease And Surgery Inc is located at 196 Wikiup Dr, Santa Rosa, CA 95403. The listed phone number is (707) 527-9517.

What is Norcal Skin Disease And Surgery Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Norcal Skin Disease And Surgery Inc was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.