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PALM CANYON DERMATOLOGY, PC
NPI 1437339470
Point of Service in Yuma, AZ

Active since November 07, 2007
350 W CATALINA DR, YUMA, AZ 85364(928) 344-0650(928) 344-3928 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palm Canyon Dermatology, Pc NPPES

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

PALM CANYON DERMATOLOGY, PC (NPI 1437339470) is a healthcare organization registered as a point of service in Yuma, Arizona and active in the NPI registry since November 2007. The organization lists Gregory Andrew Ertl, President/owner, as its authorized official.

NPPES Registry Identity

NPI1437339470
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NamePALM CANYON DERMATOLOGY, PC
Location Address350 W CATALINA DRYuma, AZ 85364-8112
Mailing Address350 W Catalina DrYuma, AZ 85364-8112 · (928) 344-0650 · Fax (928) 344-3928
Phone(928) 344-0650
Fax(928) 344-3928
Organization SubpartNo
Authorized OfficialGregory Andrew ErtlPresident/owner · (928) 344-0650
Enumeration DateNovember 7, 2007
Last NPPES UpdateNovember 16, 2007
✔ NPI 1437339470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in AZ · 19732
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
350 W CATALINA DR, Yuma, AZ 85364
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Other Identifiers 2

Medicare PINZ60755
OtherCG5646Rail Road Medicare

Other Providers at the Same Location NPPES 3

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

VERONICA HALL PA-C
Physician Assistant
350 W CATALINA DR
YUMA, AZ 85364
Yuma County (805) 522-2580
CALIFORNIA DERMATOLOGY INSTITUTE PC
Non-Pharmacy Dispensing Site
350 W CATALINA DR
YUMA, AZ 85364
Yuma County (805) 298-7034
DR. GREGORY A ERTL MD
Specialist
350 W CATALINA DR
YUMA, AZ 85364
Yuma County (928) 344-0650

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 Palm Canyon Dermatology, PC's NPI number?

The NPI number for Palm Canyon Dermatology, PC is 1437339470. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Palm Canyon Dermatology, PC located?

Palm Canyon Dermatology, PC is located at 350 W Catalina Dr, Yuma, AZ 85364. The listed phone number is (928) 344-0650.

What is Palm Canyon Dermatology, PC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Palm Canyon Dermatology, PC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.