NPIMap

Organization Active NPI

Hpderm

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1831835933
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
HPDERM
Practice address
2135 E Rockwood Dr
Phoenix, AZ 85024-3064
Phone
(480) 740-7426
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Ha Pham, PA-CNPI 1366777575
Title
PA-Dermatology
Phone
(480) 740-7426

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)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

2135 E Rockwood Dr
Phoenix, AZ 85024-3064

Mailing address

2135 E Rockwood Dr
Phoenix, AZ 85024-3064
Phone (480) 740-7426

National Provider Directory

National Provider Directory

Locations

750 S Ironwood Dr
Ste 102
Apache Junction, AZ 85120
Phone (480) 740-7426

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1831835933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 E ROCKWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850243064",
            "telephone_number": "480-740-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 E ROCKWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850243064",
            "telephone_number": "480-740-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPDERM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HA",
        "authorized_official_title_or_position": "PA-DERMATOLOGY",
        "authorized_official_telephone_number": "480-740-7426",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "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 May 23, 2022; 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.