Active NPI
Saguaro Dermatology Associates LLC
- Dermatology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SAGUARO DERMATOLOGY ASSOCIATES LLC
- Practice address
- 3400 E McDowell Rd FL 2
Phoenix, AZ 85008-3884 - Phone
- (480) 681-3300
- Fax
- (480) 681-3301
- NPI assigned
- Mar 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dathan Hamann, MD
- Title
- Owner
- Phone
- (480) 681-3300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
3400 E McDowell Rd FL 2
Phoenix, AZ 85008-3884
Mailing address
PO Box 61025
Phoenix, AZ 85082-1025
Phone (480) 681-3000
Other practice location 1
4530 E Shea Blvd Ste 101
Phoenix, AZ 85028-6066
Phone (602) 867-7546
Other practice location 2
2150 S Dobson Rd Ste 1
Mesa, AZ 85202-6487
Phone (480) 820-9774
Other practice location 3
4425 E Agave Rd Ste 148
Phoenix, AZ 85044-0623
Phone (480) 771-0279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2162146 | Saguaro Dermatology Associates, LLC | Compliance | May 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
120 W Highway 287
Florence, AZ 85132
Phone (954) 275-7026
2150 S Dobson Rd
Mesa, AZ 85202
3400 E McDowell Rd
Fl 2
Phoenix, AZ 85008
Phone (480) 681-3300
4425 E Agave Rd
Phoenix, AZ 85044
Phone (480) 274-4860
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1760801070
-
- Physician Assistant
- Phoenix, AZ
- NPI 1790392157
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1538546957
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1750575643
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1437712031
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1508325697
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1932698727
-
- Dermatology Physician
- Scottsdale, AZ
- NPI 1306342811
-
- Physician Assistant
- Scottsdale, AZ
- NPI 1528520632
-
- Dermatology Physician
- Mesa, AZ
- NPI 1336255793
-
- Medical Physician Assistant
- Chandler, AZ
- NPI 1003320904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1114485646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61025",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850821025",
"telephone_number": "480-681-3000",
"fax_number": "480-681-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 E MCDOWELL RD FL 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850083884",
"telephone_number": "480-681-3300",
"fax_number": "480-681-3301"
}
],
"practiceLocations": [
{
"address_1": "4530 E Shea Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850286066",
"country_code": "US",
"telephone_number": "602-867-7546",
"fax_number": "608-971-0065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2150 S Dobson Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852026487",
"country_code": "US",
"telephone_number": "480-820-9774",
"fax_number": "480-897-0820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4425 E Agave Rd Ste 148",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850440623",
"country_code": "US",
"telephone_number": "480-771-0279",
"fax_number": "480-704-7549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAGUARO DERMATOLOGY ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-04",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "HAMANN",
"authorized_official_first_name": "DATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-681-3300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.