Integrated Dermatology of Roseville, PC
NPI 1811586134 · Dermatology Physician · Roseville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Dermatology of Roseville, PC is a Dermatology Physician organization in Roseville, CA (NPI 1811586134).
Provider details
- NPI number
- 1811586134
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Haley, Authorized Group Official(561) 314-2000
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
5 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)
- Other name
- Select Or Enter
- Other name
- Select Or Enter
Registry dates
- Enumerated
- 2021-01-12
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Frequently asked questions
- What is Integrated Dermatology of Roseville, PC's NPI number?
- Integrated Dermatology of Roseville, PC's National Provider Identifier (NPI) is 1811586134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Roseville, PC?
- Integrated Dermatology of Roseville, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Roseville, PC located?
- Integrated Dermatology of Roseville, PC's practice location on file with NPPES is 1412 Blue Oaks Blvd, Roseville, CA 95747-7143.
- What is Integrated Dermatology of Roseville, PC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Roseville, PC is (916) 784-7546.
- Does Integrated Dermatology of Roseville, PC accept Medicare?
- Integrated Dermatology of Roseville, 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 Integrated Dermatology of Roseville, PC?
- The authorized official listed on Integrated Dermatology of Roseville, PC's NPPES record is Jennifer Haley, Authorized Group Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Roseville, PC's NPI active?
- Yes — Integrated Dermatology of Roseville, PC's NPI (1811586134) is active in the NPPES registry as of the last update on 2021-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.