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

Dr. Sean David Doherty, MD

Individual provider Dermatology Physician · NPI 1578726121

Dr. Sean David Doherty, MD is a Dermatology in Roseville, California. Graduated from Baylor College of Medicine in 2007, 19 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
19
Trained at
Baylor College of Medicine
Licensed in
CA, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2120 Professional Dr
Roseville, CA 95661-3700
Phone: (916) 631-3010
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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 A115843 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence BP20031444 (TX)

Record details

NPI number1578726121
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESDecember 15, 2021
Mailing address2120 Professional Dr, Roseville, CA 95661-3700

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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