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OASIS DERMATOLOGY PC
NPI 1780229625
Dermatology in Green Valley, AZ

Active since November 14, 2019CLIA 03D2179563 · Certificate of Compliance
1055 N LA CANADA DR STE 101, GREEN VALLEY, AZ 85614(520) 589-2039(520) 230-4544 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 2, 2020, Nov 14, 2019 (2 updates tracked since 2019).

About Oasis Dermatology Pc NPPES

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

OASIS DERMATOLOGY PC (NPI 1780229625) is a healthcare organization registered as a dermatology in Green Valley, Arizona and active in the NPI registry since November 2019. The organization holds a CLIA Certificate of Compliance certificate valid through November 29, 2026 and lists Sandra A Leyo-dupont, President, as its authorized official.

NPPES Registry Identity

NPI1780229625
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameOASIS DERMATOLOGY PC
Location Address1055 N LA CANADA DR STE 101Green Valley, AZ 85614-3700
Mailing Address4729 E Sunrise Dr # 207Tucson, AZ 85718-4534 · (520) 589-2039
Phone(520) 589-2039
Fax(520) 230-4544
Organization SubpartNo
Authorized OfficialSandra A Leyo-dupontPresident · (520) 589-2039
Enumeration DateNovember 14, 2019
Last NPPES UpdateJuly 2, 20202 updates tracked since enumeration
NPPES CertifiedJuly 2, 2020
✔ NPI 1780229625 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.
1055 N LA CANADA DR STE 101, Green Valley, AZ 85614
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Other Identifiers 1

Other00000AZ · Medicaid

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oasis Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Oasis Dermatology PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Sandra Leyo Dupont, M.D.
Dermatology
NPI 1558330365
1055 N LA CANADA DR STE 101
Green Valley, AZ 85614
(520) 589-2039
✔ PECOS✔ Accepts MedicareSame address
Jason Dupont, MD
Dermatology
NPI 1922118298
6296 E GRANT RD STE 180
Tucson, AZ 85712
(520) 290-8555
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 03D2179563

Oasis Dermatology · Green Valley, AZ
Active · expires Nov 29, 2026
CLIA Number03D2179563
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorSandra A. Dupont
Laboratory Phone(520) 589-2039
Laboratory LocationOasis Dermatology1055 N La Canada Drive, Ste 131, Green Valley, AZ 85614
CLIA data matches this NPI record on: 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.

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 Oasis Dermatology PC's NPI number?

The NPI number for Oasis Dermatology PC is 1780229625. It was assigned to this organization in the NPPES registry on November 14, 2019.

Where is Oasis Dermatology PC located?

Oasis Dermatology PC is located at 1055 N La Canada Dr Ste 101, Green Valley, AZ 85614. The listed phone number is (520) 589-2039.

What is Oasis Dermatology PC's specialty?

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

Is Oasis Dermatology PC enrolled in Medicare?

Yes. Oasis Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oasis Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Oasis Dermatology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oasis Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2179563) is associated with this NPI, valid through November 29, 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 Oasis Dermatology PC was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.