DESERT BLOOM PLASTIC SURGERY LLC
NPI 1235691510
Clinic/Center - Medical Specialty in St George, UT

Q: What is Desert Bloom Plastic Surgery LLC's NPI number?

The NPI number for Desert Bloom Plastic Surgery LLC is 1235691510. It was assigned to this organization in the NPPES registry on April 4, 2019.

Q: What is Desert Bloom Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since April 04, 2019

446 S MALL DR STE 1, ST GEORGE, UT 84790(435) 627-8150 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Apr 4, 2019 (2 updates tracked since 2019).

On this page

About Desert Bloom Plastic Surgery Llc NPPES

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

DESERT BLOOM PLASTIC SURGERY LLC (NPI 1235691510) is a healthcare organization registered as a medical specialty in St George, Utah and active in the NPI registry since April 2019. The organization lists Jordan Wallin, President, as its authorized official.

NPPES Registry Identity

NPI1235691510

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameDESERT BLOOM PLASTIC SURGERY LLC

Location Address446 S MALL DR STE 1St George, UT 84790-4944

Mailing Address446 S Mall Dr Ste 1St George, UT 84790-4944 · (435) 627-8150

Phone(435) 627-8150

Organization SubpartNo

Authorized OfficialJordan WallinPresident · (435) 627-8150

Enumeration DateApril 4, 2019

Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1235691510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

446 S MALL DR STE 1, St George, UT 84790

Open in Google Maps ↗

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 Bloom Plastic Surgery LLC's NPI number?

The NPI number for Desert Bloom Plastic Surgery LLC is 1235691510. It was assigned to this organization in the NPPES registry on April 4, 2019.

Where is Desert Bloom Plastic Surgery LLC located?

Desert Bloom Plastic Surgery LLC is located at 446 S Mall Dr Ste 1, St George, UT 84790. The listed phone number is (435) 627-8150.

What is Desert Bloom Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Desert Bloom Plastic Surgery LLC was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.