Golden State Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GOLDEN STATE DERMATOLOGY, INC.

Practice address

2255 Ygnacio Valley Rd Ste B1
Walnut Creek, CA 94598-3335

Phone

(925) 945-1127

Fax

(925) 945-0804

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Edward V Becker, M.D.

Title

President

Phone

(925) 945-7005

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://gsderm.mmi.prod.fhir.ema-api.com/fhir/r4

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407285240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD.",
            "address_2": "SUITE B-1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983335",
            "telephone_number": "925-945-7005",
            "fax_number": "925-236-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD STE B1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983335",
            "telephone_number": "925-945-1127",
            "fax_number": "925-945-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-945-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Walnut Creek, CA
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.