Individual provider Active NPI

Denise L Gabaldon, P.A.C.

  • Surgical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1083705685
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3053 Issued in AZ
Practice address
10213 N 92ND St
Suite 101
Scottsdale, AZ 85258-4561
Phone
(480) 860-6005
Fax
(480) 860-1882
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3053 AZ Primary

Addresses

Primary practice location

10213 N 92ND St
Suite 101
Scottsdale, AZ 85258-4561

Mailing address

30044 N 47TH St
Cave Creek, AZ 85331-7826
Phone (480) 699-7661

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
I20050314000353 AZ Practitioner - Physician Assistant 6204881261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
60.29
Promoting interoperability
98
Improvement activities
40
Cost
71.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3053AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Toca at Banner Health LLC CurrentSince Nov 15, 2020 Accepting new patients

Locations

18700 N 64th Dr
Ste 205
Glendale, AZ 85308
Phone (602) 536-7480

2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

5002 S Mill Ave
Ste 101
Tempe, AZ 85282

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1083705685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30044 N 47TH ST",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853317826",
            "telephone_number": "480-699-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10213 N 92ND ST",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584561",
            "telephone_number": "480-860-6005",
            "fax_number": "480-860-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABALDON",
        "first_name": "DENISE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.