OrganizationActive
Quail Lakes Dermatology Medical Associates, Inc.
NPI 1275536872 · Specialist · Stockton, CA
Quail Lakes Dermatology Medical Associates, Inc. is a Specialist organization in Stockton, CA (NPI 1275536872).
Provider details
- NPI number
- 1275536872
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kyle Herbold, Dermatologist(209) 951-1133
- License
- A068815 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
4553 Quail Lakes Dr
Stockton, CA 95207-5257
Phone: (209) 951-1133
Fax: (209) 951-4708
Street-level locationGet directions
Mailing address
4553 Quail Lakes Dr
Stockton, CA 95207-5257
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Quail Lakes Dermatology Medical Associates, Inc.'s NPI number?
- Quail Lakes Dermatology Medical Associates, Inc.'s National Provider Identifier (NPI) is 1275536872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Quail Lakes Dermatology Medical Associates, Inc.?
- Quail Lakes Dermatology Medical Associates, Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Quail Lakes Dermatology Medical Associates, Inc. located?
- Quail Lakes Dermatology Medical Associates, Inc.'s practice location on file with NPPES is 4553 Quail Lakes Dr, Stockton, CA 95207-5257.
- What is Quail Lakes Dermatology Medical Associates, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Quail Lakes Dermatology Medical Associates, Inc. is (209) 951-1133.
- Who is the authorized official for Quail Lakes Dermatology Medical Associates, Inc.?
- The authorized official listed on Quail Lakes Dermatology Medical Associates, Inc.'s NPPES record is Kyle Herbold, Dermatologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Quail Lakes Dermatology Medical Associates, Inc.'s NPI active?
- Yes — Quail Lakes Dermatology Medical Associates, Inc.'s NPI (1275536872) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.