Active NPI
Javier Omar Yepiz, PA
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677 - Phone
- (480) 788-5621
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Mailing address
202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Phone (480) 788-5621
Other practice location 1
435 N 5th St
Phoenix, AZ 85004-2157
Phone (602) 827-2450
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080
17015 N 7TH St
Suite 100
Phoenix, AZ 85022-2436
Phone (602) 368-1403
18404 N Tatum Blvd
Suite 101C
Phoenix, AZ 85032-1511
Phone (602) 992-1900
3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444
4501 E Thomas Rd
Suite 101
Phoenix, AZ 85018-7600
Phone (602) 808-8786
7730 E McDowell Rd
Suite 101
Scottsdale, AZ 85257-3772
Phone (480) 699-3314
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.21 of 100
- Quality
- 77.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8693 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Minimally Invasive Surgical | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients |
Locations
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444
6220 W Bell Rd
Ste 100C
Glendale, AZ 85308
Phone (602) 547-7335
415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661
10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030
5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621
202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072
1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475
Interoperability endpoints
- jyepiz504295@direct.honorhealth.com
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1740273614
-
- Surgery Physician
- Phoenix, AZ
- NPI 1295056919
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1467069047
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1700423415
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1801403480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1073108593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E EARLL DR STE 360",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122677",
"telephone_number": "480-788-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E EARLL DR STE 360",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122677",
"telephone_number": "480-788-5621"
}
],
"practiceLocations": [
{
"address_1": "435 N 5th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850042157",
"country_code": "US",
"telephone_number": "602-827-2450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEPIZ",
"first_name": "JAVIER",
"middle_name": "OMAR",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-05",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"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 Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.