MEDICARE: JUSTIN C. KERSTETTER, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1477319101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUSTIN C. KERSTETTER, M.D., INC.

Provider Business Mailing Address
First Line	:	3009 TIFFANY LN
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-9215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 ORANGE TREE LN STE 100
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92374-4588
Country	:	US
Telephone Number	:	909-747-4205
Fax Number	:	909-334-4940

Authorized Official
Title or Position	:	OWNER
Name	:	JUSTIN CHRISTOPHER KERSTETTER
Credential	:
Telephone Number	:	909-435-6758

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	04/14/2026

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