Active NPI
Jeannesse Delgado, PA
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1043884778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 704PA
- Practice address
- 1201 S 7TH Ave
Phoenix, AZ 85007-3913 - Phone
- (407) 723-9788
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 8515 | AZ | |
| Physician Assistant | 363A00000X | 704PA | PR | Primary |
Addresses
Primary practice location
1201 S 7TH Ave
Phoenix, AZ 85007-3913
Mailing address
55 E Ray Rd Ste 5-C
Chandler, AZ 85225-3337
Phone (407) 723-9788
Other practice location 1
55 E Ray Rd Ste 5-C
Chandler, AZ 85225-3337
Phone (407) 723-9788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8515 | AZ | MD | Chiropractor |
| 704PA | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746316800000",
"number": "1043884778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E RAY RD STE 5-C",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852253337",
"telephone_number": "407-723-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S 7TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850073913",
"telephone_number": "407-723-9788"
}
],
"practiceLocations": [
{
"address_1": "55 E Ray Rd Ste 5-C",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852253337",
"country_code": "US",
"telephone_number": "407-723-9788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO",
"first_name": "JEANNESSE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2025-05-04",
"certification_date": "2025-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "8515",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "PR",
"license": "704PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.