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ALTA DERMATOLOGY GROUP LTD
NPI 1780801506
Dermatology in Mesa, AZ

Active since April 20, 2007CLIA 03D0529113 · Certificate of Compliance
130 S 63RD ST, BLDG 3 STE 114, MESA, AZ 85206(480) 981-2888(480) 654-0599 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alta Dermatology Group Ltd NPPES

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

ALTA DERMATOLOGY GROUP LTD (NPI 1780801506) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 17, 2028 and lists Rebecca Castillo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1780801506
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALTA DERMATOLOGY GROUP LTD
Location Address130 S 63RD ST, BLDG 3 STE 114Mesa, AZ 85206-1620
Mailing Address130 S 63rd St, Bldg 3 Ste 114Mesa, AZ 85206-1620 · (480) 981-2888 · Fax (480) 654-0599
Phone(480) 981-2888
Fax(480) 654-0599
Organization SubpartNo
Authorized OfficialRebecca CastilloOffice Manager · (480) 981-2888
Enumeration DateApril 20, 2007
Last NPPES UpdateOctober 22, 2014
✔ NPI 1780801506 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.
130 S 63RD ST, Mesa, AZ 85206
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Other Identifiers 2

Medicare PINCJ6067AZ
Medicare PINZ65197AZ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D0529113

Alta Dermatology Group, Ltd Dba Alta Dermatology · Mesa, AZ
Active · expires Jan 17, 2028
CLIA Number03D0529113
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorStephen E. Kessler II
Laboratory Phone(480) 981-2888
Laboratory LocationAlta Dermatology Group, Ltd Dba Alta Dermatology130 S 63rd St, Bldg 3, Ste 114, Mesa, AZ 85206
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 7

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

EAST VALLEY UROLOGY, P.C.
Urology
130 S 63RD ST, SUITE #101
MESA, AZ 85206
Maricopa County (480) 985-6000
DIANA LYNNE KESLER-LA CLAIR RN FNP
Nurse Practitioner
130 S 63RD ST, BLDG 3 SUITE 114
MESA, AZ 85206
Maricopa County (480) 981-2888
BETHESDA PEDIATRICS OF QUEEN CREEK
Pediatrics
130 S 63RD ST
MESA, AZ 85206
Maricopa County (480) 792-9200
MRS. NICOLE MARIA JONES
Nurse Practitioner (Acute Care)
130 S 63RD ST, STE 106
MESA, AZ 85206
Maricopa County (480) 773-2220
DR. BARRY SONKIN M.D.
Urology
130 S 63RD ST, SUITE #101
MESA, AZ 85206
Maricopa County (480) 985-6000
TRACY NICOLE CLIFFORD NP-C
Family Medicine
130 S 63RD ST
MESA, AZ 85206
Maricopa County (480) 981-2888
INTEGRATED DERMATOLOGY OF MESA PLLC
Dermatology
130 S 63RD ST, SUITE 114
MESA, AZ 85206
Maricopa County (480) 981-2888

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 Alta Dermatology Group Ltd's NPI number?

The NPI number for Alta Dermatology Group Ltd is 1780801506. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Alta Dermatology Group Ltd located?

Alta Dermatology Group Ltd is located at 130 S 63rd St Bldg 3 Ste 114, Mesa, AZ 85206. The listed phone number is (480) 981-2888.

What is Alta Dermatology Group Ltd's specialty?

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

Does Alta Dermatology Group Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D0529113) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alta Dermatology Group Ltd accept?

Health plans from Ambetter from Arizona Complete Health list Alta Dermatology Group Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alta Dermatology Group Ltd was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.