RCDC of Mesa PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RCDC OF MESA PLC

Doing business as

Radiant Complexions Dermatology Clinic

Practice address

16952 W Bell Rd Ste 304
Surprise, AZ 85374-8951

Phone

(623) 584-3588

NPI assigned

Mar 28, 2018

Last updated

Mar 28, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

RCDC OF MESA PLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra L Bejarno

Title

Billing Manager

Phone

(515) 226-3116

Specialties & licenses 1

Addresses

Other names 1

• Radiant Complexions Dermatology Clinic Doing business as

Tax ID family

RCDC of Mesa PLC2 organizations share this tax ID, including this one

Part of

RCDC of Mesa PLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• RCDC of Mesa PLC

  dba Radiant Complexions Dermatology Clinic

  • Dermatology Physician
  • Chandler, AZ
  • NPI 1225533409
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• RCDC of Mesa PLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1568416790
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1205331485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAKE DR STE 285",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662544",
            "telephone_number": "515-226-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16952 W BELL RD STE 304",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748951",
            "telephone_number": "623-584-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCDC OF MESA PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RCDC OF MESA PLC",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "BEJARNO",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "515-226-3116"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Complexions Dermatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tayler V Rathbun, MS
• Hannah Michelle Rauch, AUD
• Kortney Lynn Rawak, FNP-C
• Takesha L. Ray
• Victoria Silibaziso Razgunas, DNP, FNP-BC
• RCDC of Surprise PLC
• RCS Management Corp (Lincare Aac)
• Sean Rea, D.O.
• Kristen Nichole Ready, FNP, PMHNP
• Rebecca S Real, LMSW

• Dermatology Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.