West Oak Dermatology INC
Dermatology practice in Roseville, CA
Registered providerLicense # listed (CA)Medicare-enrolled groupAccepts Medicare assignment
Public-record details
- Address
- 258 Gibson Dr, Ste 140, Roseville, CA 95678
- Phone
- (916) 755-0077
- Listed under
- Practices and organizations
- NPI
- 1003327545
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- License number on NPI record
- 123615 (CA)
- Authorized official
- Kathryn Gant, MD, Owner
- NPI first issued
- Oct 23, 2017
- Years since NPI first issued
- 9 years (since 2017)
- License state on NPI record
- CA
- NPI record last updated
- Aug 13, 2018
- Medicare group enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians as West Oak Dermatology INC
- Clinicians in the Medicare group (all specialties, CMS)
- 4
- Dermatology clinicians in the group at this ZIP (CMS)
- 1
- Group Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Other dermatology listings at this street address
- 1
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