Organization Active NPI

Justin C. Kerstetter, M.D., Inc.

  • Dermatology Physician
  • Redlands, CA
National Provider Identifier
1477319101
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JUSTIN C. KERSTETTER, M.D., INC.
Practice address
1801 Orange Tree LN Ste 100
Redlands, CA 92374-4588
Phone
(909) 747-4205
Fax
(909) 334-4940
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Justin Christopher KerstetterNPI 1629241054
Title
Owner
Phone
(909) 435-6758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1801 Orange Tree LN Ste 100
Redlands, CA 92374-4588

Mailing address

3009 Tiffany LN
Colton, CA 92324-9215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604002579 CA Part B Supplier - Clinic/Group Practice 5395287460 Receives reassigned benefits from 3 practitioners
Practice locations: Redlands, CA

National Provider Directory

National Provider Directory

Locations

308 W State St
Ste 3A
Redlands, CA 92373
Phone (909) 435-6758

415 Tennessee St
Ste N
Redlands, CA 92373

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1477319101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 TIFFANY LN",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ORANGE TREE LN STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744588",
            "telephone_number": "909-747-4205",
            "fax_number": "909-334-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN C. KERSTETTER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "KERSTETTER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-435-6758"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.