Active NPI
Trisha Amin, PA
- Physician Assistant
- Peoria, AZ
National Provider Identifier
1275083024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6537
- Practice address
- 9059 W Lake Pleasant Pkwy
Suite E540
Peoria, AZ 85382-8336 - Phone
- (623) 322-3380
- Fax
- (623) 322-4399
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6537 | AZ | Primary |
Addresses
Primary practice location
9059 W Lake Pleasant Pkwy
Suite E540
Peoria, AZ 85382-8336
Mailing address
9059 W Lake Pleasant Pkwy
Suite E540
Peoria, AZ 85382-8336
Phone (623) 322-3380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6537 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1275083024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9059 W LAKE PLEASANT PKWY",
"address_2": "SUITE E540",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853828336",
"telephone_number": "623-322-3380",
"fax_number": "623-322-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9059 W LAKE PLEASANT PKWY",
"address_2": "SUITE E540",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853828336",
"telephone_number": "623-322-3380",
"fax_number": "623-322-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "TRISHA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
- American Family Chiropractic & Rehab of Peoria LLC
- American Retirement Corporation (Plaza del Rio Care Center)
- American Retirement Corporation (Freedom Plaza Care Center)
- Amethyst Arbor Assisted Living & Memory Care (Amethyst Arbor)
- Tanay J Amin, M.D.
- Amkal LLC (RapidCare Centers)
- Timothy Ammon, OTR
- Ashwini Nayak Ammunje, M.D.
- Michael Kwesi Amponsah, MD
- Alexys Leanne Amuso
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.