Individual provider Active NPI

Sarah Wilson, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1003320904
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6964 Issued in AZ
Practice address
485 S Dobson Rd Ste 201
Chandler, AZ 85224-5604
Phone
(480) 728-4981
Fax
(480) 728-4985
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6964 AZ Primary

Addresses

Primary practice location

485 S Dobson Rd Ste 201
Chandler, AZ 85224-5604

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102001098 AZ Practitioner - Physician Assistant 7416215116 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saguaro Dermatology Associates LLCGroup PAC ID 3577892561, 13 clinicians

Practice addresses (Care Compare)

4425 E Agave Rd
Suite 148
Phoenix, AZ 85044-0623
Phone (480) 704-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District CurrentSince Nov 29, 2017 Accepting new patients
Maricopa County Special Health Care District CurrentSince Nov 29, 2017 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
District Medical Group, Inc CurrentSince Dec 10, 2017 Accepting new patients
Saguaro Dermatology Associates LLC CurrentSince Sep 22, 2025 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc CurrentSince Dec 10, 2017 Accepting new patients
Yw Wellness LLC Past Accepting new patients
District Medical Group, Inc Past Accepting new patients
Saguaro Dermatology Associates LLC PastSince May 1, 1998 Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

485 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 728-4700

2150 S Dobson Rd
Ste 1
Mesa, AZ 85202
Phone (480) 780-3092

2150 S Dobson Rd
Ste 3
Mesa, AZ 85202
Phone (480) 256-1489

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

4425 E Agave Rd
Phoenix, AZ 85044
Phone (480) 274-4860

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3400 E McDowell Rd
Fl 2
Phoenix, AZ 85008
Phone (480) 681-3300

3400 E McDowell Rd
Phoenix, AZ 85008
Phone (480) 681-3300

4425 E Agave Rd
Ste 148
Phoenix, AZ 85044
Phone (480) 704-7546

File 56765
Los Angeles, CA 90074

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1003320904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD STE 201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245604",
            "telephone_number": "480-728-4981",
            "fax_number": "480-728-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.