Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Patricia I Ceballos, MD

Individual provider Procedural Dermatology Physician · NPI 1528054855

Dr. Patricia I Ceballos, MD is a Procedural Dermatology Physician in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

830 Ainsworth Dr
Prescott, AZ 86301-1630
Phone: (928) 777-5800
Fax: (928) 776-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 62481 (AZ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 62481 (AZ)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 62481 (AZ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 62481 (AZ)

Record details

NPI number1528054855
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2005
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

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