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

Mountain West Derm California PC

Organization Dermatology Physician · NPI 1205346061

Mountain West Derm California PC is a Dermatology Physician in Truckee, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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

10870 Brockway Rd
Truckee, CA 96161
Phone: (530) 550-0440
Fax: (530) 582-8853
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (CA)

Record details

NPI number1205346061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bret Blackhart — Md · (775) 560-8668
NPI enumeratedOctober 6, 2017
Last updated in NPPESAugust 13, 2018
Mailing address10870 Brockway Rd, Truckee, CA 96161-2054

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