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

Integrated Dermatology of Santa Rosa, PC

Organization Dermatology Physician · NPI 1508441247

Integrated Dermatology of Santa Rosa, PC is a Dermatology Physician in Santa Rosa, 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

6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958
Phone: (707) 579-4239
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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 number1508441247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Haley — Authorized Group Official · (561) 314-2000
NPI enumeratedMarch 15, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450

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