Individual provider Active NPI

Lina Kay, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1275696288
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2733 Issued in AZ
Practice address
4545 E Chandler Blvd Ste 206
Phoenix, AZ 85048-7645
Phone
(480) 961-5956
Fax
(480) 598-1314
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2733 AZ Primary

Addresses

Primary practice location

4545 E Chandler Blvd Ste 206
Phoenix, AZ 85048-7645

Mailing address

10181 N 92ND St
Ste 101
Scottsdale, AZ 85258-4559
Phone (480) 502-1158

Other names 1

  • Lina Gulkarova Former name

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
I20091110000068 AZ Practitioner - Physician Assistant 0446398671 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2733AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Clinic LLC Past Accepting new patients
Aloha Cardiology P.C. Past Accepting new patients
Medical Clinic of Arizona, LLC Past Accepting new patients
Forever Family Healthcare LLC PastSince May 5, 2015 Accepting new patients

Interoperability endpoints

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

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1275696288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10181 N 92ND ST",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584559",
            "telephone_number": "480-502-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487645",
            "telephone_number": "480-961-5956",
            "fax_number": "480-598-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "LINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "GULKAROVA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.