Provider Type Icon

INGRID ROSEBOROUGH MD PC NPI 1285983197


NPI Information

NPI: 1285983197
Provider Name: INGRID ROSEBOROUGH, MD, PC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
3300 WEBSTER ST STE 509
OAKLAND, CA
ZIP 94609
Phone: (510) 452-4900
Get Directions

INGRID ROSEBOROUGH, MD, PC is a dermatology in Oakland, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. INGRID ROSEBOROUGH, MD, PC NPI is 1285983197. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3300 WEBSTER ST STE 509
OAKLAND, CA
ZIP 94609-149
Phone: (510) 452-4900
Fax: (510) 452-2152

The provider's authorized official is Ingrid Roseborough .
The authorized official title is Owner and has the following contact phone number (510) 452-4900.

The enumeration date for this NPI number is 9/6/2012 and was last updated on 6/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyA92548CALIFORNIANo
2207N00000XDermatologyA92548CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GX926XMEDICARE PINCALIFORNIA
2GW698AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.