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

Modesto Dermatology and Skin Cancer PC

Organization Dermatology Physician · NPI 1093079485

Modesto Dermatology and Skin Cancer PC is a Dermatology Physician in Modesto, California. Registered with an NPI since 2012.

In the registry since
2012
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

3105 McHenry Ave
Modesto, CA 95350-1439
Phone: (209) 575-2700
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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 number1093079485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Taheri — President · (209) 575-2700
NPI enumeratedJune 29, 2012
Last updated in NPPESJune 29, 2012
Mailing addressPo Box 496084, Redding, CA 96049-6084

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