Active NPI
North Pacific Dermatology a Medical Corporation
- Dermatology Physician
- McKinleyville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G77600
- Legal business name
- NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION
- Practice address
- 3103 Concorde Dr
McKinleyville, CA 95519-9305 - Phone
- (707) 822-3376
- Fax
- (707) 822-5053
- NPI assigned
- Apr 25, 2007
- Last updated
- Feb 3, 2026
- 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
- Justin Arnold, M.D.
- Title
- President
- Phone
- (707) 822-3376
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G77600 | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G77600 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2308851 | North Pacific Dermatology | Compliance | Aug 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
4715 Valley East Blvd
Ste 3
Arcata, CA 95521
Phone (707) 822-3376
3103 Concorde Dr
McKinleyville, CA 95519
Phone (707) 822-3376
Practitioners & affiliated clinicians
Practitioners 8
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
- McKinleyville, CA
- NPI 1053650341
-
- Dermatology Physician
- McKinleyville, CA
- NPI 1013091958
-
- Anatomic Pathology & Clinical Pathology Physician
- Eureka, CA
- NPI 1508872714
-
- Physician Assistant
- Eureka, CA
- NPI 1295301844
-
- Medical Physician Assistant
- McKinleyville, CA
- NPI 1053970327
-
- Physician Assistant
- Arcata, CA
- NPI 1235370156
-
- Medical Physician Assistant
- Crescent City, CA
- NPI 1396994745
-
- Family Nurse Practitioner
- McKinleyville, CA
- NPI 1376481770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1548489602",
"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": {
"organization_name": "NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-822-3376",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G77600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G77600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinleyville, CA
- Jake Allen Neighbors
- Sadie Neighbors
- Andrea Jean Nelson, RDN
- North Coast Nurture Center
- North Coast Psychotherapy Center for Anxiety and Ocd, Inc. (North Coast Center for Anxiety and OCD)
- Northern Humboldt Union High School District
- Jacob Andrew Norton
- Amy Cirincione O'Connor, LCSW
- Boston O'Donohue
- Teresa Basilla Oakley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.