CAMELBACK DERMATOLOGY & SKIN SURGERY, INC
NPI 1225175441
Dermatology in Phoenix, AZ

Active since January 30, 2007CLIA 03D1011584 · Certificate of Compliance
4512 N 40TH ST, PHOENIX, AZ 85018(602) 954-7546(602) 952-2941 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Camelback Dermatology & Skin Surgery, Inc NPPES

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

CAMELBACK DERMATOLOGY & SKIN SURGERY, INC (NPI 1225175441) is a healthcare organization registered as a dermatology in Phoenix, Arizona and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 9, 2028 and lists Jeffrey Lee Romine, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1225175441
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCAMELBACK DERMATOLOGY & SKIN SURGERY, INC
Location Address4512 N 40TH STPhoenix, AZ 85018-3600
Mailing Address4512 N 40th StPhoenix, AZ 85018-3600 · (602) 954-7546 · Fax (602) 952-2941
Fax(602) 952-2941
Organization SubpartNo
Authorized OfficialJeffrey Lee RominePractice Administrator · (602) 954-7546
Enumeration DateJanuary 30, 2007
Last NPPES UpdateNovember 14, 2014
NPI 1225175441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 31198
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 31198 (AZ)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 31198 (AZ)
4512 N 40TH ST, Phoenix, AZ 85018

Other Identifiers 1

Medicare UPINZ74336AZ

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 03D1011584

Camelback Dermatology & Skin Surgery · Phoenix, AZ
Active · expires Mar 9, 2028
CLIA Number03D1011584
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorAmena Deluca
Laboratory Phone(602) 954-7546
Laboratory LocationCamelback Dermatology & Skin Surgery4512 North 40th St, Phoenix, AZ 85018
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 5

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

Physician Assistant
4512 N 40TH ST
PHOENIX, AZ 85018
Physician Assistant (Medical)
4512 N 40TH ST
PHOENIX, AZ 85018
Dermatology
4512 N 40TH ST
PHOENIX, AZ 85018
Physician Assistant (Medical)
4512 N 40TH ST
PHOENIX, AZ 85018
Dermatology (MOHS-Micrographic Surgery)
4512 N 40TH ST
PHOENIX, AZ 85018

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 Camelback Dermatology & Skin Surgery, Inc's NPI number?

The NPI number for Camelback Dermatology & Skin Surgery, Inc is 1225175441. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Camelback Dermatology & Skin Surgery, Inc located?

Camelback Dermatology & Skin Surgery, Inc is located at 4512 N 40th St, Phoenix, AZ 85018. The listed phone number is (602) 954-7546.

What is Camelback Dermatology & Skin Surgery, Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Camelback Dermatology & Skin Surgery, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D1011584) is associated with this NPI, valid through March 9, 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 Camelback Dermatology & Skin Surgery, Inc was last updated on November 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.