Individual provider Active NPI

Ahmad Taylor, P.A.

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1174880009
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
698 E Wetmore Rd Ste 370
Tucson, AZ 85705-1773
Phone
(520) 240-6893
NPI assigned
Apr 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

698 E Wetmore Rd Ste 370
Tucson, AZ 85705-1773

Mailing address

698 E Wetmore Rd Ste 370
Tucson, AZ 85705-1773
Phone (520) 240-6893

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
I20120830000815 AZ Practitioner - Physician Assistant 5193972842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

3860 W 24TH St
Suite 201 214
Yuma, AZ 85364-9280
Phone (928) 276-9225

55 S 5TH St
Sierra Vista, AZ 85635-1857
Phone (520) 452-9784

709 N Allred LN
Suite 105
Thatcher, AZ 85552-5561
Phone (928) 362-7343

7750 E Broadway Blvd
Tucson, AZ 85710-3901
Phone (520) 327-1529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5111AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness CurrentSince Oct 8, 2012 Accepting new patients
Easter Seals Blake Foundation CurrentSince Jun 6, 2022 Accepting new patients
Codac Health Recovery and Wellness CurrentSince Oct 8, 2012 Accepting new patients
Easter Seals Blake Foundation CurrentSince Jun 6, 2022 Accepting new patients
Easter Seals Blake Foundation PastSince Feb 25, 2024 Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients

Locations

900 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

1115 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

6303 N 7TH St
Phoenix, AZ 85014

618 S Central Ave
Safford, AZ 85546
Phone (928) 362-7343

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

55 S 5th St
Ste A200
Sierra Vista, AZ 85635

709 N Allred Ln
Ste 104105
Thatcher, AZ 85552

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

3130 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 318-9222

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

7750 E Broadway Blvd
Ste B100
Tucson, AZ 85710

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

4653 E Pima St
Tucson, AZ 85712
Phone (520) 326-6182

630 N Alvernon Way
Ste 161
Tucson, AZ 85711
Phone (520) 318-9222

310 S Meyer Ave
Tucson, AZ 85701
Phone (520) 209-2492

7756 E Broadway Blvd
Ste C100
Tucson, AZ 85710
Phone 52032715297108

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

3860 W 24th St
Ste 201
Yuma, AZ 85364

Organizations & group practices 7

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": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1174880009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 E WETMORE RD STE 370",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051773",
            "telephone_number": "520-240-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 E WETMORE RD STE 370",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051773",
            "telephone_number": "520-240-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AHMAD",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.