Mountain West Derm California PC
NPI 1205346061 · Dermatology Physician · Truckee, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain West Derm California PC is a Dermatology Physician organization in Truckee, CA (NPI 1205346061).
Provider details
- NPI number
- 1205346061
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bret Blackhart, MD(775) 560-8668
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-10-06
- Last updated
- 2018-08-13
Frequently asked questions
- What is Mountain West Derm California PC's NPI number?
- Mountain West Derm California PC's National Provider Identifier (NPI) is 1205346061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain West Derm California PC?
- Mountain West Derm California PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain West Derm California PC located?
- Mountain West Derm California PC's practice location on file with NPPES is 10870 Brockway Rd, Truckee, CA 96161.
- What is Mountain West Derm California PC's phone number?
- The practice phone number listed in the NPPES registry for Mountain West Derm California PC is (530) 550-0440.
- Does Mountain West Derm California PC accept Medicare?
- Mountain West Derm California PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain West Derm California PC?
- The authorized official listed on Mountain West Derm California PC's NPPES record is Bret Blackhart, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain West Derm California PC's NPI active?
- Yes — Mountain West Derm California PC's NPI (1205346061) is active in the NPPES registry as of the last update on 2018-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.