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AZ DERMATOLOGY, LLC
NPI 1770818130
Specialist in Yuma, AZ

Active since October 02, 2009
1025 W 24TH ST, SUITE 5, YUMA, AZ 85364(520) 374-2462(520) 374-2467 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Az Dermatology, Llc NPPES

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

AZ DERMATOLOGY, LLC (NPI 1770818130) is a healthcare organization registered as a specialist in Yuma, Arizona and active in the NPI registry since October 2009. The organization lists Jayshri Gamoth, Owner, as its authorized official.

NPPES Registry Identity

NPI1770818130
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAZ DERMATOLOGY, LLC
Location Address1025 W 24TH ST, SUITE 5Yuma, AZ 85364-8366
Mailing Address1821 N Trekell Rd, Suite 5Casa Grande, AZ 85122-1705 · (520) 374-2462 · Fax (520) 374-2467
Phone(520) 374-2462
Fax(520) 374-2467
Organization SubpartNo
Authorized OfficialJayshri GamothOwner · (520) 374-2462
Enumeration DateOctober 2, 2009
Last NPPES UpdateDecember 7, 2017
✔ NPI 1770818130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 36353
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1025 W 24TH ST, Yuma, AZ 85364
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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

Other Providers at the Same Location NPPES 12

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

DR. DOROTHY LAI PING WONG MD
Internal Medicine
1025 W 24TH ST, SUITE 26
YUMA, AZ 85364
Yuma County (928) 344-5455
DR. MOHAMMAD MUSHTAQ KHAN M.D.
Internal Medicine (Cardiovascular Disease)
1025 W 24TH ST, SUITE #27
YUMA, AZ 85364
Yuma County (928) 344-9000
SITAMAHALAKSHMI NUTAKKI M.D.
Pediatrics (Adolescent Medicine)
1025 W 24TH ST, 25
YUMA, AZ 85364
Yuma County (928) 344-3411
DOROTHY L. P. WONG, MD, LLC
Internal Medicine (Geriatric Medicine)
1025 W 24TH ST, SUITE 26
YUMA, AZ 85364
Yuma County (928) 344-5455
ADVANCED HOME HEALTHCARE SERVICES OF YUMA,L.L.C
Home Health
1025 W 24TH ST, SUITE 22
YUMA, AZ 85364
Yuma County (928) 783-1313
JULIE DANCE PLLC
Advanced Practice Midwife
1025 W 24TH ST, SUITE 28
YUMA, AZ 85364
Yuma County (928) 726-5101
MOHAMMAD M KHAN M.D.
Internal Medicine (Cardiovascular Disease)
1025 W 24TH ST, SUITE #27
YUMA, AZ 85364
Yuma County (928) 344-9000
MS. PAULA ANNE ASHURST P.A.
Physician Assistant (Medical)
1025 W 24TH ST
YUMA, AZ 85364
Yuma County (928) 341-0070

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 Az Dermatology, LLC's NPI number?

The NPI number for Az Dermatology, LLC is 1770818130. It was assigned to this organization in the NPPES registry on October 2, 2009.

Where is Az Dermatology, LLC located?

Az Dermatology, LLC is located at 1025 W 24th St Suite 5, Yuma, AZ 85364. The listed phone number is (520) 374-2462.

What is Az Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Az Dermatology, LLC was last updated on December 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.