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JEWELS GARDEN ONCOLOGY BOUTIQUE
NPI 1174660435
Prosthetic/Orthotic Supplier in Mesa, AZ

Active since January 30, 2007CLIA Certified · 3 labs
1400 S DOBSON RD, ONCOLOGY GIFT SHOP, ROOM 1053, MESA, AZ 85202(480) 412-5959 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jewels Garden Oncology Boutique NPPES

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

JEWELS GARDEN ONCOLOGY BOUTIQUE (NPI 1174660435) is a healthcare organization registered as a prosthetic/orthotic supplier in Mesa, Arizona and active in the NPI registry since January 2007. The organization holds 3 active CLIA laboratory certificates and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174660435
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBANNER DESERT MEDICAL CENTER
Location Address1400 S DOBSON RD, ONCOLOGY GIFT SHOP, ROOM 1053Mesa, AZ 85202-4707
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(480) 412-5959
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1174660435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
1400 S DOBSON RD, Mesa, AZ 85202
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Other Names 1

Doing Business AsJewels Garden Oncology Boutique

CLIA Laboratory Certificates CMS CLIA 3

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 Accreditation 03D1052410

Banner Desert Medical Center Point Of Care - Laboratory · Mesa, AZ
Active · expires Jun 14, 2027
CLIA Number03D1052410
Laboratory TypeHospital
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDr. Sarah Navina
Laboratory Phone(480) 512-3637
Laboratory LocationBanner Desert Medical Center Point Of Care - Laboratory1400 S Dobson Road, Mesa, AZ 85202
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 03D0698494

Banner Desert Medical Center · Mesa, AZ
Active · expires Mar 7, 2027
CLIA Number03D0698494
Laboratory TypeHospital
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Priya Raman
Laboratory Phone(480) 412-3600
Laboratory LocationBanner Desert Medical Center1400 South Dobson Road, Mesa, AZ 85202
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 03D0528879

Banner Desert Medical Center · Mesa, AZ
Active · expires Feb 27, 2027
CLIA Number03D0528879
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Sarah Navina
Laboratory Phone(480) 412-3751
Laboratory LocationBanner Desert Medical Center1400 South Dobson Road, Mesa, AZ 85202
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

VIREN PATEL PHARMD
Pharmacist
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-4250
DR. EMMANUEL A BAYONGAN M.D.
Internal Medicine (Critical Care Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 543-2034
DR. HEATHER ANNE LEINBACH PHARMD
Pharmacist (Pharmacotherapy)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-5616
DRAKE HERRING RRA
Radiology Practitioner Assistant
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-3773
SAVANNAH BABCOCK
Registered Nurse
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000
DR. HOLLY MCDANIEL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (602) 685-5211
CHARLES H PSHAENICH MD
Emergency Medicine
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 456-9500
MADHURI KASHYAP MD
Emergency Medicine (Pediatric Emergency Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000

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 Banner Desert Medical Center's NPI number?

The NPI number for Banner Desert Medical Center is 1174660435. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Jewels Garden Oncology Boutique.

Where is Banner Desert Medical Center located?

Banner Desert Medical Center is located at 1400 S Dobson Rd Oncology Gift Shop, Room 1053, Mesa, AZ 85202. The listed phone number is (480) 412-5959.

What is Banner Desert Medical Center's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Banner Desert Medical Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Banner Desert Medical Center was last updated on December 23, 2021. 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.