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DESERT STAR HEALTHCARE, LLC
NPI 1649859687
Clinic/Center - Primary Care in Mesa, AZ

Active since April 06, 2021CLIA 03D2240737 · Waiver
4855 E BROWN RD STE 100, MESA, AZ 85205(480) 219-6646(480) 219-6647 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Desert Star Healthcare, Llc NPPES

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

DESERT STAR HEALTHCARE, LLC (NPI 1649859687) is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Deborah Lynn White, Fnp-c, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1649859687
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDESERT STAR HEALTHCARE, LLC
Location Address4855 E BROWN RD STE 100Mesa, AZ 85205-8007
Mailing Address4855 E Brown Rd Ste 100Mesa, AZ 85205-8007 · (480) 219-6646 · Fax (480) 219-6647
Phone(480) 219-6646
Fax(480) 219-6647
Organization SubpartNo
Authorized OfficialDeborah Lynn WhiteFnp-c, Co-owner · (480) 219-6646
Enumeration DateApril 6, 2021
Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1649859687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4855 E BROWN RD STE 100, Mesa, AZ 85205
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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 Waiver 03D2240737

Desert Star Healthcare, LLC · Mesa, AZ
Active · expires Oct 20, 2027
CLIA Number03D2240737
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorDeborah L. White
Laboratory Phone(480) 219-6646
Laboratory LocationDesert Star Healthcare, LLC4855 E Brown Rd Ste 100, Mesa, AZ 85205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

RACHAEL BUCKLEY NP
Nurse Practitioner (Family)
4855 E BROWN RD STE 100
MESA, AZ 85205
Maricopa County (480) 219-6646
MS. TESSA M TIBBEN PA-C
Physician Assistant (Medical)
4855 E BROWN RD STE 100
MESA, AZ 85205
Maricopa County (480) 981-5995
DR. DEBORAH LYNN WHITE DNP, MHA, FNP-C
Nurse Practitioner (Family)
4855 E BROWN RD STE 100
MESA, AZ 85205
Maricopa County (480) 219-6466

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 Star Healthcare, LLC's NPI number?

The NPI number for Desert Star Healthcare, LLC is 1649859687. It was assigned to this organization in the NPPES registry on April 6, 2021.

Where is Desert Star Healthcare, LLC located?

Desert Star Healthcare, LLC is located at 4855 E Brown Rd Ste 100, Mesa, AZ 85205. The listed phone number is (480) 219-6646.

What is Desert Star Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Desert Star Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2240737) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Star Healthcare, LLC was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.