Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology Surgical & Medical Group

Organization Dermatology Physician · NPI 1962509109

Dermatology Surgical & Medical Group is a Dermatology Physician in Santa Cruz, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1661 Soquel Dr Bldg E
Santa Cruz, CA 95065
Phone: (831) 476-2444
Fax: (831) 476-3271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1962509109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Niles — Office Manager · (831) 476-2444
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJune 26, 2018
Mailing address1661 Soquel Dr, Building E, Santa Cruz, CA 95065-1709

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