Individual provider Active NPI

James Jarvise, P.A.-C.

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1316940356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2586 Issued in AZ
Practice address
1455 W Chandler Blvd
BLDG a Suite 4
Chandler, AZ 85224-6177
Phone
(482) 899-2900
Fax
(480) 899-0681
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2586 AZ Primary

Addresses

Primary practice location

1455 W Chandler Blvd
BLDG a Suite 4
Chandler, AZ 85224-6177

Mailing address

3725 E Derringer Way
Gilbert, AZ 85297-7826
Phone (480) 812-2119

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
I20040915000559 AZ Practitioner - Physician Assistant 0143297481 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services PC Physician Assistant CurrentSince Jun 1, 2011 Accepting new patients
Emergency Professional Services PC Physician Assistant CurrentSince Jun 1, 2011 Accepting new patients
Integrated Joint Specialists LLC CurrentSince Nov 1, 2022 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 1, 2012 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 1, 2012 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9305 W Thomas Rd
Ste 405
Phoenix, AZ 85037
Phone (623) 327-7900

1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

2141 E Broadway Rd
Ste 111
Tempe, AZ 85282
Phone (503) 719-6783

10250 SW Greenburg Rd
Ste 115
Tigard, OR 97223
Phone (503) 719-6783

Organizations & group practices 10

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316940356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 E DERRINGER WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977826",
            "telephone_number": "480-812-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W CHANDLER BLVD",
            "address_2": "BLDG A SUITE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246177",
            "telephone_number": "482-899-2900",
            "fax_number": "480-899-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVISE",
        "first_name": "JAMES",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.