SAGEBRUSH DERMATOLOGY PLLC
NPI 1174274435
Dermatology in Mesa, AZ
About Sagebrush Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAGEBRUSH DERMATOLOGY PLLC (NPI 1174274435) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists Chao Li, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Waiver 03D2266070
Sagebrush Dermatology · Mesa, AZOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MESA, AZ 85206
MESA, AZ 85206
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 Sagebrush Dermatology PLLC's NPI number?
The NPI number for Sagebrush Dermatology PLLC is 1174274435. It was assigned to this organization in the NPPES registry on January 18, 2022.
Where is Sagebrush Dermatology PLLC located?
Sagebrush Dermatology PLLC is located at 5432 E Southern Ave Ste 101B, Mesa, AZ 85206. The listed phone number is (480) 681-3376.
What is Sagebrush Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Sagebrush Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2266070) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sagebrush Dermatology PLLC was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.