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LA PAZ DERMATOLOGY PLLC
NPI 1013734094
Dermatology - MOHS-Micrographic Surgery in Queen Creek, AZ

Active since September 23, 2024CLIA 03D2324912 · Certificate of Compliance
20185 E OCOTILLO RD STE 104, QUEEN CREEK, AZ 85142(602) 799-0976(480) 864-4399 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Sep 23, 2024 (2 updates tracked since 2024).

About La Paz Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA PAZ DERMATOLOGY PLLC (NPI 1013734094) is a healthcare organization registered as a mohs-micrographic surgery in Queen Creek, Arizona and active in the NPI registry since September 2024. The organization holds a CLIA Certificate of Compliance certificate valid through May 27, 2028, maintains a secondary practice location in Gilbert, and lists Jennifer Garrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1013734094
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameLA PAZ DERMATOLOGY PLLC
Location Address20185 E OCOTILLO RD STE 104Queen Creek, AZ 85142-7663
Mailing Address20789 S 209th StQueen Creek, AZ 85142-6532 · (602) 799-0976 · Fax (480) 864-4399
Phone(602) 799-0976
Fax(480) 864-4399
Organization SubpartNo
Authorized OfficialJennifer GarrickOwner · (602) 799-0976
Enumeration DateSeptember 23, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1013734094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
20185 E OCOTILLO RD STE 104, Queen Creek, AZ 85142
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Secondary Practice Location 1

Location 13050 E Queen Creek Rd Ste 101Gilbert, AZ 85297-8600 · Phone (602) 799-0976 · Fax (480) 864-4399

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D2324912

La Paz Dermatology · Gilbert, AZ
Active · expires May 27, 2028
CLIA Number03D2324912
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorRyan J. Jackson
Laboratory Phone(602) 799-0976
Laboratory LocationLa Paz Dermatology3050 E Queen Creek Rd Ste 101, Gilbert, AZ 85297
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIERRA ANN BRIGHTON LCSW
Social Worker (Clinical)
20185 E OCOTILLO RD STE 104
QUEEN CREEK, AZ 85142
Maricopa County (480) 704-3474
JENNIFER GARRICK NP
Nurse Practitioner
20185 E OCOTILLO RD STE 104
QUEEN CREEK, AZ 85142
Maricopa County (602) 799-0976
TIFFANY MARTINEZ LCSW
Social Worker (Clinical)
20185 E OCOTILLO RD STE 104
QUEEN CREEK, AZ 85142
Maricopa County (480) 704-3474
CARRIE CHURCH NP
Nurse Practitioner (Family)
20185 E OCOTILLO RD STE 104
QUEEN CREEK, AZ 85142
Maricopa County (480) 704-3474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Paz Dermatology PLLC's NPI number?

The NPI number for La Paz Dermatology PLLC is 1013734094. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is La Paz Dermatology PLLC located?

La Paz Dermatology PLLC is located at 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142. The listed phone number is (602) 799-0976.

What is La Paz Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does La Paz Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2324912) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Paz Dermatology PLLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.