Organization
Jdl-Ctspa
Provider's NPPES record last updated: April 8, 2019
Overview
- Entity Type
- Organization
- NPI
- 1831353382
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- Laveen, Arizona
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 11:30 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (Arizona)
- 3608
Practice Locations
Practice Location
4521 W Hopi Trl
Laveen, Arizona 85339-2068
Phone: (602) 795-3371
Additional Practice Location
5446 W Samantha Way
Laveen, Arizona 85339-7160
Phone: (602) 795-3371
Additional Practice Location
1930 E Thomas Rd
Phoenix, Arizona 85016-7711
Phone: (602) 532-1000
Additional Practice Location
18701 N 67th Ave
Glendale, Arizona 85308-7100
Phone: (623) 561-1000
Additional Practice Location
10401 W Thunderbird Blvd
Sun City, Arizona 85351-3004
Phone: (623) 977-7211
Additional Practice Location
13677 W Mcdowell Rd
Goodyear, Arizona 85395-2635
Phone: (623) 882-1500
Additional Practice Location
1400 S Dobson Rd
Mesa, Arizona 85202-4707
Phone: (489) 512-3000
Additional Practice Location
9201 W Thomas Rd
Phoenix, Arizona 85037-3332
Phone: (623) 327-4000
Additional Practice Location
5555 W Thunderbird Rd
Glendale, Arizona 85306-4622
Phone: (602) 865-5555
Additional Practice Location
6750 E Baywood Ave
Mesa, Arizona 85206-1749
Phone: (480) 854-5000
Additional Practice Location
1955 W Frye Rd
Chandler, Arizona 85224-6282
Phone: (480) 728-3000
Record Information
- Enumeration Date
- July 14, 2008
- Provider's NPPES Record Last Updated
- April 8, 2019
- NPISignal NPPES Dataset
- August 2026
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