Active NPI
My Thuong Thi Quirino, PA-C
- Medical Physician Assistant
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 8202
- Practice address
- 6242 E Arbor Ave Ste 123
Mesa, AZ 85206-1309 - Phone
- (480) 930-4600
- Fax
- (480) 930-4615
- NPI assigned
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 8202 | AZ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
6242 E Arbor Ave Ste 123
Mesa, AZ 85206-1309
Mailing address
6242 E Arbor Ave Ste 123
Mesa, AZ 85206-1309
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201202001563 | AZ | Practitioner - Physician Assistant | 8527479138 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner - University Super Specialists LLC
Practice addresses (Care Compare)
1441 N 12TH St
FL 2
Phoenix, AZ 85006-2837
Phone (844) 242-4664
Hospital & facility affiliations
- Banner - University Medical Center Phoenix
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner - University Super Specialists LLC | Current | Accepting new patients |
Locations
755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111
1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700
1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1740650555
AZ
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1245859115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6242 E ARBOR AVE STE 123",
"city": "MESA",
"state": "AZ",
"postal_code": "852061309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6242 E ARBOR AVE STE 123",
"city": "MESA",
"state": "AZ",
"postal_code": "852061309",
"telephone_number": "480-930-4600",
"fax_number": "480-930-4615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIRINO",
"first_name": "MY THUONG",
"middle_name": "THI",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "8202",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.