Golden State Dermatology Associates Inc
NPI 1700860871ActiveOrganization· Dermatology· Walnut Creek, CA
Dermatology in Walnut Creek, California, registered in NPPES in December 2005. The authorized official on file is Jay William Zimmerman, Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700860871 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2005 |
| Last updated in NPPES | Oct 13, 2026 |
| Certified by provider | Oct 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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