SAGUARO DERMATOLOGY
NPI 1346962057
Dermatology in Phoenix, AZ

Active since September 19, 2022
4425 E AGAVE RD STE 148, PHOENIX, AZ 85044(480) 704-7546 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Saguaro Dermatology NPPES

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

SAGUARO DERMATOLOGY (NPI 1346962057) is a healthcare organization registered as a dermatology in Phoenix, Arizona and active in the NPI registry since September 2022. The organization lists Nicole Medina, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1346962057
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOPALLI, LLC
Location Address4425 E AGAVE RD STE 148Phoenix, AZ 85044-0623
Mailing AddressPo Box 61025Phoenix, AZ 85082-1025 · (480) 681-3300 · Fax (480) 681-3301
Organization SubpartNo
Authorized OfficialNicole MedinaCredentialing Manager · (480) 681-3300
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
NPI 1346962057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
4425 E AGAVE RD STE 148, Phoenix, AZ 85044

Other Names 1

Doing Business AsSaguaro Dermatology

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

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 03D2024481

Saguaro Dermatology Ahwatukee · Phoenix, AZ
Expired · Jul 30, 2026
CLIA Number03D2024481
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorMichael O. Mcbride
Laboratory Phone(480) 704-7546
Laboratory LocationSaguaro Dermatology Ahwatukee4425 E Agave Rd, Ste 148, Phoenix, AZ 85044
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 6

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

Physician Assistant
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Physician Assistant
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Physician Assistant
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Dermatology
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Dermatology
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044
Physician Assistant (Medical)
4425 E AGAVE RD STE 148
PHOENIX, AZ 85044

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 Nopalli, LLC's NPI number?

The NPI number for Nopalli, LLC is 1346962057. It was assigned to this organization in the NPPES registry on September 19, 2022. The provider is doing business as Saguaro Dermatology.

Where is Nopalli, LLC located?

Nopalli, LLC is located at 4425 E Agave Rd Ste 148, Phoenix, AZ 85044. The listed phone number is (480) 704-7546.

What is Nopalli, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nopalli, LLC was last updated on September 19, 2022. 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.