Valley Dermatology PLLC
NPI 1578360665 · Dermatology Physician · Glendale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valley Dermatology PLLC is a Dermatology Physician organization in Glendale, AZ (NPI 1578360665).
Provider details
- NPI number
- 1578360665
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle Sanniec, Manager(602) 376-8638
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1121 S Gilbert Rd Ste 102Mesa, AZ 85204-5235Phone: (480) 779-4008
Registry dates
- Enumerated
- 2025-02-26
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Valley Dermatology PLLC's NPI number?
- Valley Dermatology PLLC's National Provider Identifier (NPI) is 1578360665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Valley Dermatology PLLC?
- Valley Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Valley Dermatology PLLC located?
- Valley Dermatology PLLC's practice location on file with NPPES is 5702 W Glendale Ave, Glendale, AZ 85301-2556.
- What is Valley Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Valley Dermatology PLLC is (623) 937-8969.
- Does Valley Dermatology PLLC accept Medicare?
- Valley Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Valley Dermatology PLLC?
- The authorized official listed on Valley Dermatology PLLC's NPPES record is Kyle Sanniec, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Valley Dermatology PLLC's NPI active?
- Yes — Valley Dermatology PLLC's NPI (1578360665) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.