Pacific Dermatology Medical Associates, Inc
NPI 1710025994 · Dermatology Physician · Stockton, CA
Pacific Dermatology Medical Associates, Inc is a Dermatology Physician organization in Stockton, CA (NPI 1710025994).
Provider details
- NPI number
- 1710025994
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathryn Rohrer, Practice Administrator(209) 951-1133
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
19 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
Other names (DBA / former)
- Doing business as
- Quail Lakes Dermatology
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pacific Dermatology Medical Associates, Inc's NPI number?
- Pacific Dermatology Medical Associates, Inc's National Provider Identifier (NPI) is 1710025994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Dermatology Medical Associates, Inc?
- Pacific Dermatology Medical Associates, Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pacific Dermatology Medical Associates, Inc located?
- Pacific Dermatology Medical Associates, Inc's practice location on file with NPPES is 4553 Quail Lakes Dr, Stockton, CA 95207-5257.
- What is Pacific Dermatology Medical Associates, Inc's phone number?
- The practice phone number listed in the NPPES registry for Pacific Dermatology Medical Associates, Inc is (209) 951-1133.
- Who is the authorized official for Pacific Dermatology Medical Associates, Inc?
- The authorized official listed on Pacific Dermatology Medical Associates, Inc's NPPES record is Kathryn Rohrer, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Dermatology Medical Associates, Inc's NPI active?
- Yes — Pacific Dermatology Medical Associates, Inc's NPI (1710025994) 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.