Active NPI
Sarah Catherine Lance, PA-C
- Medical Physician Assistant
- Gilbert, AZ
National Provider Identifier
1063801439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 6406
- Practice address
- 6285 S Higley Rd
Gilbert, AZ 85298-4262 - Phone
- (480) 460-4949
- Fax
- (480) 460-5858
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 6406 | AZ | Primary |
Addresses
Primary practice location
6285 S Higley Rd
Gilbert, AZ 85298-4262
Mailing address
6285 S Higley Rd
Gilbert, AZ 85298-4262
Phone (480) 460-4949
Other practice location 1
965 W Chandler Heights Rd
Chandler, AZ 85248-5724
Phone (480) 460-4949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6406 | Other | AZ | AZ LICENSE |
| 186324 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6406 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Shores Pediatrics | Current | Accepting new patients |
Locations
965 W Chandler Heights Rd
Chandler, AZ 85248
Phone (480) 460-4949
6285 S Higley Rd
Gilbert, AZ 85298
Phone (480) 227-0804
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDGBAA
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Gilbert, AZ
- NPI 1124386487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1063801439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6285 S HIGLEY RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852984262",
"telephone_number": "480-460-4949",
"fax_number": "480-460-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6285 S HIGLEY RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852984262",
"telephone_number": "480-460-4949",
"fax_number": "480-460-5858"
}
],
"practiceLocations": [
{
"address_1": "965 W Chandler Heights Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852485724",
"country_code": "US",
"telephone_number": "480-460-4949",
"fax_number": "480-460-5858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANCE",
"first_name": "SARAH",
"middle_name": "CATHERINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "6406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ LICENSE",
"identifier": "6406",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186324",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.