OrganizationActive
Az Skin Sub LLC
NPI 1912618687 · Internal Medicine Physician · Phoenix, AZ
Az Skin Sub LLC is a Internal Medicine Physician organization in Phoenix, AZ (NPI 1912618687).
Provider details
- NPI number
- 1912618687
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jarvis Tzeng, President(480) 389-6863
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
10810 N Tatum Blvd Ste 102-132
Phoenix, AZ 85028-6055
Phone: (480) 389-6863
Fax: (888) 819-9648
Street-level locationGet directions
Mailing address
10810 N Tatum Blvd Ste 102-132
Phoenix, AZ 85028-6055
Registry dates
- Enumerated
- 2022-12-13
- Last updated
- 2022-12-13
- Certified
- 2022-12-13
Frequently asked questions
- What is Az Skin Sub LLC's NPI number?
- Az Skin Sub LLC's National Provider Identifier (NPI) is 1912618687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Az Skin Sub LLC?
- Az Skin Sub LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Az Skin Sub LLC located?
- Az Skin Sub LLC's practice location on file with NPPES is 10810 N Tatum Blvd Ste 102-132, Phoenix, AZ 85028-6055.
- What is Az Skin Sub LLC's phone number?
- The practice phone number listed in the NPPES registry for Az Skin Sub LLC is (480) 389-6863.
- Who is the authorized official for Az Skin Sub LLC?
- The authorized official listed on Az Skin Sub LLC's NPPES record is Jarvis Tzeng, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Az Skin Sub LLC's NPI active?
- Yes — Az Skin Sub LLC's NPI (1912618687) is active in the NPPES registry as of the last update on 2022-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.