Individual provider Active NPI

Justin David Arnold, MD

  • Dermatology Physician
  • McKinleyville, CA
National Provider Identifier
1053650341
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A176420 Issued in CA
Practice address
3103 Concorde Dr
McKinleyville, CA 95519-9305
Phone
(707) 822-3376
Fax
(707) 822-5053
NPI assigned
Feb 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A176420 CA Primary

Addresses

Primary practice location

3103 Concorde Dr
McKinleyville, CA 95519-9305

Mailing address

1575 S Railroad Ave
Crescent City, CA 95531-6821
Phone (707) 464-8335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715004094 CA Practitioner - Dermatology 3678942521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
George Washington University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Pacific Dermatology a Medical CorporationGroup PAC ID 4981704723, 7 clinicians

Practice addresses (Care Compare)

1575 S Railroad Ave
Crescent City, CA 95531-6821
Phone 7074648335212

Hospital & facility affiliations

  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Merit-based Incentive Payment System (MIPS)

Final score
90.38 of 100Reported as group
Quality
92.6
Improvement activities
40
Cost
77.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of tissue16
Removal of skin lesions1122
Removal of skin cancer957
Removal or shaving of skin growth1-10
Skin biopsy562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A176420CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Pacific Dermatology a Medical Corporation Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4715 Valley East Blvd
Ste 3
Arcata, CA 95521
Phone (707) 822-3376

1575 S Railroad Ave
Crescent City, CA 95531
Phone (707) 464-8335

1730 Main St
Fortuna, CA 95540
Phone (707) 725-5223

1730 Main St
Ste B
Fortuna, CA 95540
Phone (707) 725-5223

3103 Concorde Dr
McKinleyville, CA 95519
Phone (707) 822-3376

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1053650341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "707-464-8335",
            "fax_number": "707-464-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 CONCORDE DR",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199305",
            "telephone_number": "707-822-3376",
            "fax_number": "707-822-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JUSTIN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A176420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

Verify at the official NPI Registry.