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

Integrated Dermatology of Roseville, PC

Organization Dermatology Physician · NPI 1811586134

Integrated Dermatology of Roseville, PC is a Dermatology Physician in Roseville, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1412 Blue Oaks Blvd
Roseville, CA 95747-7143
Phone: (916) 784-7546
Fax: (916) 784-7548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1811586134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Haley — Authorized Group Official · (561) 314-2000
Other names Select Or Enter; Select Or Enter
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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