Individual provider Active NPI

R West, PA

  • Medical Physician Assistant
  • Surprise, AZ
National Provider Identifier
1275984288
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
15411 W Waddell Rd Ste 102
Surprise, AZ 85379-5170
Phone
(623) 396-6840
NPI assigned
Jun 30, 2016
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 NU Primary

Addresses

Primary practice location

15411 W Waddell Rd Ste 102
Surprise, AZ 85379-5170

Mailing address

15411 W Waddell Rd Ste 102
Surprise, AZ 85379-5170
Phone (623) 396-6840

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
I20161017002262 AZ Practitioner - Physician Assistant 5395033807 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

1 N Central Ave
Suite 105
Phoenix, AZ 85004-4416
Phone (602) 255-7650

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

11685 W Van Buren St
Avondale, AZ 85323-6904
Phone (623) 465-6420

13901 W Meeker Blvd
Sun City West, AZ 85375-4475
Phone (623) 465-6435

15223 N 87TH St
Suite 110
Scottsdale, AZ 85260-2640
Phone (480) 682-4100

15521 W Bell Rd
Surprise, AZ 85374-3437
Phone (623) 465-6390

21980 N 83Rd Ave
Peoria, AZ 85383-1850
Phone (623) 465-6375

4232 W Bell Rd
Glendale, AZ 85308-4027
Phone (623) 465-6360

5018 N 7TH St
Phoenix, AZ 85014-3101
Phone (602) 255-7680

7611 W Cactus Rd
Peoria, AZ 85381-5203
Phone (623) 465-6315

7952 N 43Rd Ave
Glendale, AZ 85301-1662
Phone (623) 465-6330

9111 N 7TH St
Phoenix, AZ 85020-2515
Phone (602) 255-7670

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC Current Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Feb 23, 2021 Accepting new patients
Dispatchhealth-Arizona CurrentSince Sep 8, 2022 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Feb 12, 2018 Accepting new patients
Banner Urgent Care Services, LLC Past Accepting new patients

Locations (25 of 41)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 353-2210

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

3051 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2591

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1275984288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 W WADDELL RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795170",
            "telephone_number": "623-396-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15411 W WADDELL RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795170",
            "telephone_number": "623-396-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.