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

North Bay Dermatology & Skin Cancer Center P C

Organization Dermatology Physician · NPI 1295170629

North Bay Dermatology & Skin Cancer Center P C is a Dermatology Physician in Petaluma, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

106 Lynch Creek Way 8
Petaluma, CA 94954-2356
Phone: (707) 763-6816
Fax: (707) 763-1730
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A86638 (CA)

Record details

NPI number1295170629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Santiago Centurion — President · (707) 763-6816
NPI enumeratedApril 29, 2013
Last updated in NPPESJanuary 14, 2014
Mailing address106 Lynch Creek Way, 8, Petaluma, CA 94954-2356

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