Individual provider Active NPI

Katherine Lijoi, PA-C

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1023178449
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3554 Issued in AZ
Practice address
16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711
Phone
(623) 334-4000
Fax
(623) 334-4400
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3554 AZ Primary

Addresses

Primary practice location

16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711

Mailing address

16390 N 59TH Ave Ste 200
Glendale, AZ 85306-1711
Phone (623) 334-4000

Other identifiers 1

IdentifierTypeStateIssuer
362058MedicaidAZ

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
I20071213000116 AZ Practitioner - Physician Assistant 9133219249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arrowhead Family Health Center PCGroup PAC ID 7113816521, 14 clinicians

Practice addresses (Care Compare)

16390 N 59TH Ave
Suite 200
Glendale, AZ 85306-1711
Phone (623) 334-4000

2629 N Scottsdale Rd
Scottsdale, AZ 85257-1370
Phone (623) 334-4000

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3554AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Family Health Center PC CurrentSince Feb 8, 2016 Accepting new patients
Arrowhead Family Health Center PC CurrentSince Feb 8, 2016 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

16222 N 59th Ave
Ste A100
Glendale, AZ 85306
Phone 62333440007036

16390 N 59th Ave
Ste 200
Glendale, AZ 85306
Phone 62333440007337

5845 E Still Cir
Ste 104
Mesa, AZ 85206
Phone (623) 298-1805

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

13430 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85254
Phone (833) 500-1753

17061 N Avenue of the Arts
Ste 100
Surprise, AZ 85378
Phone (623) 277-5552

Interoperability endpoints

  • Direct secure messaging: katherine.lijoi@rdhmsc.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1023178449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061711",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16390 N 59TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061711",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIJOI",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362058",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.