Active NPI
Charles Steven Larsen, PA
- Physician Assistant
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3179
- Practice address
- 3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649 - Phone
- (480) 425-5000
- Fax
- (480) 425-5033
- NPI assigned
- Feb 15, 2006
- Last updated
- Nov 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3179 | AZ | Primary |
| Surgical Physician Assistant | 363AS0400X | 3179 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | 3179 | AZ |
Addresses
Primary practice location
3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649
Mailing address
2323 W Rose Garden LN
Phoenix, AZ 85027-2530
Phone (602) 521-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 636186 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WI, WA, FL, IN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 757-6320
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (832) 915-2534
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (832) 915-2534
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (832) 915-2534
6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534
9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (832) 915-2534
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3179 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Tri-City Express Care, PLLC | Current | Accepting new patients | |
| Banner Imaging Services LLC | Current | Accepting new patients | |
| Banner Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Banner Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Heart and Lung Institute of Utah Inc | Past | Accepting new patients | |
| Scottsdale Medical Imaging, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Urology Associates, LTD | Past | Accepting new patients |
Locations (25 of 31)
1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729
1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198
495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573
665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500
890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 214-4466
920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201
18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977
5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892
5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420
5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002
5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999
1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779
1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045
415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661
6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619
6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600
16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999
18444 N 25th Ave
Ste 140
Phoenix, AZ 85023
Phone (623) 465-6940
4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018
9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652
7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314
10474 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 832-5316
13909 W Camino del Sol
Ste 101
Sun City West, AZ 85375
Phone (623) 544-7300
1840 E Warner Rd
Ste 114
Tempe, AZ 85284
Phone (480) 768-2800
7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
-
- Diagnostic Radiology Physician
- Sun City, AZ
- NPI 1770139958
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
Diagnostic Radiology, WI
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1902896236
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Radiology Clinic/Center
- Phoenix, AZ
- NPI 1710733472
-
- Diagnostic Radiology Physician
- Casa Grande, AZ
- NPI 1841846920
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
-
dba Oro Valley Hospital
- General Acute Care Hospital
- Oro Valley, AZ
- NPI 1386697688
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1164496030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 W ROSE GARDEN LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272530",
"telephone_number": "602-521-6200",
"fax_number": "623-842-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 N SCOTTSDALE RD STE 130",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515649",
"telephone_number": "480-425-5000",
"fax_number": "480-425-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "CHARLES",
"middle_name": "STEVEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3179",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "3179",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "3179",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "636186",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.