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

Individual provider Dermatology Physician · NPI 1831182971

Dale A Kooistra, MD, PHD is a Dermatology in Poway, California. Graduated from Stanford University School of Medicine in 1984, 42 years ago. Practices with Rishu Gupta MD Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

15525 Pomerado Rd Ste D2
Poway, CA 92064-2435
Phone: (858) 675-8001
Fax: (858) 487-1337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G55734 (CA)

Record details

NPI number1831182971
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Rishu Gupta Md Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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