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DESERT VALLEY DERMATOLOGY PLC
NPI 1124739560
Dermatology - MOHS-Micrographic Surgery in Phoenix, AZ

Active since December 07, 2022CLIA 03D2280599 · Certificate of Compliance
3815 E BELL RD STE 3100, PHOENIX, AZ 85032(918) 625-4103 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2023, Dec 7, 2022 (2 updates tracked since 2022).

About Desert Valley Dermatology Plc NPPES

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

DESERT VALLEY DERMATOLOGY PLC (NPI 1124739560) is a healthcare organization registered as a mohs-micrographic surgery in Phoenix, Arizona and active in the NPI registry since December 2022. The organization holds a CLIA Certificate of Compliance certificate valid through April 27, 2027 and lists Travis Lam, Member, as its authorized official.

NPPES Registry Identity

NPI1124739560
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDESERT VALLEY DERMATOLOGY PLC
Location Address3815 E BELL RD STE 3100Phoenix, AZ 85032-2156
Mailing Address4636 E Lafayette BlvdPhoenix, AZ 85018-3830 · (918) 625-4103
Phone(918) 625-4103
Organization SubpartNo
Authorized OfficialTravis LamMember · (918) 625-4103
Enumeration DateDecember 7, 2022
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1124739560 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.
3815 E BELL RD STE 3100, Phoenix, AZ 85032
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D2280599

Desert Valley Dermatology · Phoenix, AZ
Active · expires Apr 27, 2027
CLIA Number03D2280599
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorTravis S. Lam
Laboratory Phone(480) 916-3376
Laboratory LocationDesert Valley Dermatology3815 E Bell Rd Ste 3100, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name
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 3

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

BROOKE LEIGH BLUMETTI DO
Dermatology
3815 E BELL RD STE 3100
PHOENIX, AZ 85032
Maricopa County (480) 916-3376
ELIZABETH ANN STRICKER NP
Nurse Practitioner (Family)
3815 E BELL RD STE 3100
PHOENIX, AZ 85032
Maricopa County (480) 916-3376
DR. TRAVIS LAM D.O.
Dermatology
3815 E BELL RD STE 3100
PHOENIX, AZ 85032
Maricopa County (480) 916-3376

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 Desert Valley Dermatology Plc's NPI number?

The NPI number for Desert Valley Dermatology Plc is 1124739560. It was assigned to this organization in the NPPES registry on December 7, 2022.

Where is Desert Valley Dermatology Plc located?

Desert Valley Dermatology Plc is located at 3815 E Bell Rd Ste 3100, Phoenix, AZ 85032. The listed phone number is (918) 625-4103.

What is Desert Valley Dermatology Plc's specialty?

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

Does Desert Valley Dermatology Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2280599) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Desert Valley Dermatology Plc accept?

Health plans from Ambetter from Arizona Complete Health list Desert Valley Dermatology Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desert Valley Dermatology Plc was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.