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

Kyle Wayne Herbold, MD

Individual provider Dermatology Physician · NPI 1568407013

Kyle Wayne Herbold, MD is a Dermatology in Stockton, California. Graduated from Yale University School of Medicine in 1995, 31 years ago. Practices with Golden State Dermatology Associates, Inc, a 119-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
Yale University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4553 Quail Lakes Dr
Stockton, CA 95207
Phone: (209) 951-1133
Fax: (209) 951-4708
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A068815 (CA)

Record details

NPI number1568407013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2006
Last updated in NPPESJuly 13, 2007
Mailing address4553 Quail Lakes Dr, Stockton, CA 95207

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Golden State Dermatology Associates, Inc. — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stockton