New Life Dermatology a Professional Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NEW LIFE DERMATOLOGY A PROFESSIONAL MEDICAL CORPORATION

Practice address

1505 Shepard Dr Ste 204
Santa Maria, CA 93454-7016

Phone

(805) 478-6570

Fax

(866) 317-4919

NPI assigned

May 28, 2026

Organization subpart

No

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

Authorized official

Name

William Allen Okerblom, OKERBLOMNPI 1396893046

Title

President

Phone

(805) 478-6570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• William Allen Okerblom, M.D.

  • Dermatology Physician
  • Santa Maria, CA
  • NPI 1396893046
  NPD Authorized official

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1871424820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-912-1777",
            "fax_number": "805-902-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-478-6570",
            "fax_number": "866-317-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE DERMATOLOGY A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "OKERBLOM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-478-6570",
        "authorized_official_credential": "OKERBLOM"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Shirley Nelson
• Kristen Dawn Nelson, RN, FNP
• Timothy D Nelson, O.D.
• Jose Alfredo Nevarez
• Taylor Nevitt
• New Vision Telemedicine and Medical Consultant, Inc.
• Taylor Newhouse
• John Kelly Newlander, M.D.
• Dwayne Franklin Newman
• Susanna Lynn Newman

• Dermatology Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.