Individual provider Active NPI

Vincent J Tapia, P.A

  • Physician Assistant
  • Casa Grande, AZ
National Provider Identifier
1255560710
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2400 Issued in AZ
Practice address
1637 E Monument Plaza Cir
Casa Grande, AZ 85222-5600
Phone
(520) 426-1512
Fax
(520) 426-1750
NPI assigned
Jul 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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 2400 AZ Primary

Addresses

Primary practice location

1637 E Monument Plaza Cir
Casa Grande, AZ 85222-5600

Mailing address

1637 E Monument Plaza Cir
Casa Grande, AZ 85222-5600
Phone (520) 426-1512

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
I20050110001157 AZ Practitioner - Physician Assistant 5092763656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casa Grande Internal Medicine PCGroup PAC ID 4385941814, 4 clinicians

Practice addresses (Care Compare)

1637 E Monument Plaza Cir
Suite 1
Casa Grande, AZ 85122-5639
Phone (520) 426-1512

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2400AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Grande Emergency Physicians PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFDFDD/Endpoint/IFDFDD

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.

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1255560710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 E MONUMENT PLAZA CIR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852225600",
            "telephone_number": "520-426-1512",
            "fax_number": "520-426-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 E MONUMENT PLAZA CIR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852225600",
            "telephone_number": "520-426-1512",
            "fax_number": "520-426-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "VINCENT",
        "middle_name": "J",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.