Nopalli, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NOPALLI, LLC

Doing business as

Saguaro Dermatology

Practice address

4425 E Agave Rd Ste 148
Phoenix, AZ 85044-0623

Phone

(480) 704-7546

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Medina

Title

Credentialing Manager

Phone

(480) 681-3300

Specialties & licenses 1

Addresses

Other names 1

• Saguaro Dermatology Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1346962057",
    "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": "480-681-3300",
            "fax_number": "480-681-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440623",
            "telephone_number": "480-704-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOPALLI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-681-3300"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saguaro Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Marie Noonan, APRN-RNP, NNP-BC
• Sean Noonan
• Bita Nooranbakht, M.D.
• Nazar A Noori, M.D.
• Tarreq Noori
• Gus George Nopoulos, DDS
• Nora's Survivors
• Adam Scott Norberg, MD
• Kelsey Norby, RDN
• Earl Robert Nordby III, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.