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

North Bay Dermatology Associates

Organization Specialist · NPI 1275622664

North Bay Dermatology Associates is a Specialist in Petaluma, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

106 Lynch Creek Way Ste #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

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1275622664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Santiago Centurion — Practice Owner · (707) 763-6816
Other names North Bay Dermatology; Glenn A. Koby, Md
NPI enumeratedOctober 12, 2006
Last updated in NPPESJune 25, 2019
Mailing address106 Lynch Creek Way, Suite #8, Petaluma, CA 94954-2356

Other providers in Petaluma