1. Home
  2. Directory
  3. Nevada
  4. Henderson
  5. Dermatology
  6. NPI Profile

EPIPHANY DERMATOLOGY OF NEVADA - HATCH, PLLC
NPI 1437846169
Dermatology in Henderson, NV

Active since April 21, 2023CLIA 29D2308447 · Certificate of Compliance
2904 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052(702) 906-0060(702) 906-0072 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Epiphany Dermatology Of Nevada - Hatch, Pllc NPPES

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

EPIPHANY DERMATOLOGY OF NEVADA - HATCH, PLLC (NPI 1437846169) is a healthcare organization registered as a dermatology in Henderson, Nevada and active in the NPI registry since April 2023. The organization holds a CLIA Certificate of Compliance certificate valid through November 11, 2026 and lists Gheorghe Pusta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437846169
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEPIPHANY DERMATOLOGY OF NEVADA - HATCH, PLLC
Location Address2904 W HORIZON RIDGE PKWY STE 100Henderson, NV 89052-5016
Mailing Address7300 Ranch Road 2222 Ste 200Austin, TX 78730-3204 · (512) 628-0465 · Fax (512) 628-0468
Phone(702) 906-0060
Fax(702) 906-0072
Organization SubpartNo
Authorized OfficialGheorghe PustaCeo · (512) 628-0465
Enumeration DateApril 21, 2023
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1437846169 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.
2904 W HORIZON RIDGE PKWY STE 100, Henderson, NV 89052
Open in Google Maps ↗

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 29D2308447

Epiphany Dermatology Of Nevada-Hatch, PLLC · Henderson, NV
Active · expires Nov 11, 2026
CLIA Number29D2308447
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorWhitney L. Call
Laboratory Phone(702) 906-0060
Laboratory LocationEpiphany Dermatology Of Nevada-Hatch, PLLC2904 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052
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 3

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

DR. AHMED A SAGASLLI M.D.
Internal Medicine
2904 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Clark County (702) 780-0300
DR. JANICE KE JIANG MD
Dermatology
2904 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Clark County (702) 906-0060
LONG VU TRAN APRN
Nurse Practitioner
2904 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Clark County (702) 780-0300

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 Epiphany Dermatology Of Nevada - Hatch, PLLC's NPI number?

The NPI number for Epiphany Dermatology Of Nevada - Hatch, PLLC is 1437846169. It was assigned to this organization in the NPPES registry on April 21, 2023.

Where is Epiphany Dermatology Of Nevada - Hatch, PLLC located?

Epiphany Dermatology Of Nevada - Hatch, PLLC is located at 2904 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052. The listed phone number is (702) 906-0060.

What is Epiphany Dermatology Of Nevada - Hatch, PLLC's specialty?

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

Does Epiphany Dermatology Of Nevada - Hatch, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 29D2308447) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Epiphany Dermatology Of Nevada - Hatch, PLLC was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.