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Randy Jacobs Dermatology Inc.

Dermatology Physician in Sun City, CA · enumerated 2006 · authorized official Tammy Bolon, Office Manager.

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

National Provider Identifier

1699872630

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Registry record

Entity type Organization (Type 2)
Legal business name Randy Jacobs Dermatology Inc.
Practice address 27640 Encanto Dr, # B, Sun City, CA, 92586
Phone (951) 672-7673
Fax (951) 672-1197
Enumeration date Sep 20, 2006
Last updated in NPPES Mar 12, 2008

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License A049395 (CA) Primary

Authorized official

Name Tammy Bolon
Title Office Manager
Phone (951) 672-7673

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

What is the NPI number for Randy Jacobs Dermatology Inc.?
The NPI for Randy Jacobs Dermatology Inc. is 1699872630, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Randy Jacobs Dermatology Inc.?
NPPES lists Tammy Bolon (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-12.