Active NPI
Golden State Dermatology, Inc.
- Dermatology Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2255 Ygnacio Valley Rd Ste B1
Walnut Creek, CA 94598-3335
Mailing address
2255 Ygnacio Valley Rd.
Suite B-1
Walnut Creek, CA 94598-3335
Phone (925) 945-7005
National Provider Directory
National Provider DirectoryLocations
350 Lennon Ln
Ste 255
Walnut Creek, CA 94598
355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704
Interoperability endpoints
- https://gsderm.mmi.prod.fhir.ema-api.com/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Walnut Creek, CA
- NPI 1962515858
NPI Registry JSON
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": []
}
Other providers in Walnut Creek, CA
Sources for this page
- 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.