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Quail Lakes Dermatology Medical Associates, Inc.

Specialist in Stockton, CA · enumerated 2005 · authorized official Kyle Herbold, Dermatologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275536872

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Registry record

Entity type Organization (Type 2)
Legal business name Quail Lakes Dermatology Medical Associates, Inc.
Practice address 4553 Quail Lakes Dr, Stockton, CA, 95207
Fax (209) 951-4708
Enumeration date May 27, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

174400000X Specialist Other Service Providers · License A068815 (CA) Primary

Authorized official

Name Kyle Herbold
Title Dermatologist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Quail Lakes Dermatology Medical Associates, Inc. located?
The practice location on file with NPPES is in Stockton, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.