Individual provider Active NPI

Kai C Johnson, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1194531202
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
395 N Silverbell Rd Ste 201
Tucson, AZ 85745-2719
Phone
(520) 792-2170
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

395 N Silverbell Rd Ste 201
Tucson, AZ 85745-2719

Mailing address

395 N Silverbell Rd Ste 201
Tucson, AZ 85745-2719
Phone (520) 792-2170

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
I20250324001312 AZ Practitioner - Physician Assistant 3577085190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley ENT PCGroup PAC ID 8729149711, 70 clinicians

Practice addresses (Care Compare)

1980 W Hospital Dr
Suite 201
Tucson, AZ 85704-7804
Phone (520) 792-2170

395 N Silverbell Rd
Suite 201
Tucson, AZ 85745-2719
Phone (520) 792-2170

9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10927AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Surgeons PC Past Accepting new patients
Valley ENT, PC PastSince Mar 20, 2025 Accepting new patients
Northern Arizona Ear Nose and Throat PC PastSince Sep 1, 2001 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1194531202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452719",
            "telephone_number": "520-792-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452719",
            "telephone_number": "520-792-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAI",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "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.