Active NPI
Jennifer Fernandez, MD
- Dermatology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 75842
- Practice address
- 1331 N 7TH St Ste 250
Phoenix, AZ 85006-2722 - Phone
- (602) 354-5770
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 75842 | AZ | Primary |
Addresses
Primary practice location
1331 N 7TH St Ste 250
Phoenix, AZ 85006-2722
Mailing address
1331 N 7TH St Ste 250
Phoenix, AZ 85006-2722
Phone (602) 354-5770
Other names 1
- Jennifer Adam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Arizona College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1331 N 7TH St
Suite 250
Phoenix, AZ 85006-2722
Phone (602) 354-5770
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 16 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75842 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Skin Specialists, LLC | Current | Accepting new patients | |
| Southwest Skin Specialists LLC | Dermatology | Current | Accepting new patients |
Locations
1331 N 7th St
Ste 250
Phoenix, AZ 85006
Phone (602) 354-5770
1331 N 7th St
Ste 290
Phoenix, AZ 85006
Phone (602) 230-6744
4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817
10200 N 92nd St
Ste 205
Scottsdale, AZ 85258
Phone (602) 494-1817
5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1174521926
-
- Clinical Medical Laboratory
- Scottsdale, AZ
- NPI 1609185347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1972182939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 N 7TH ST STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062722",
"telephone_number": "602-354-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 N 7TH ST STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062722",
"telephone_number": "602-354-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "75842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ADAM",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.