Quail Lakes Dermatology Medical Associates, Inc.

NPI: 1275536872

Quail Lakes Dermatology Medical Associates, Inc.

Q: What is Quail Lakes Dermatology Medical Associates, Inc.'s provider type?

Quail Lakes Dermatology Medical Associates, Inc. is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: May 27, 2005

Quick Facts

NPI Number

1275536872

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy174400000X — Specialty not listed

Phone

(209) 951-1133

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1275536872)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (May 27, 2005)

Data source: CMS NPPES

Provider Overview

QUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC. is a Healthcare provider based in Stockton, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1275536872

Provider TypeOrganization

StatusActive

Enumeration DateMay 27, 2005

Practice Location

CityStockton

StateCA

ZIP Code95207-5257

Phone(209) 951-1133

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code174400000X

License StateCA

Mailing Address

CityStockton

StateCA

ZIP Code95207-5257

Phone(209) 951-1133

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1275536872 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1275536872for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1275536872 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

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