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

Iesha Ticknor

Individual provider Dermatology Physician · NPI 1134743198

Iesha Ticknor is a Dermatology Physician in San Francisco, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

1701 Divisadero St
San Francisco, CA 94115-3011
Phone: (415) 353-7800
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence PTL15246 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1134743198
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Other providers in San Francisco