Active NPI
Rafael Antonio Noboa-Lemonier, PA
- Physician Assistant
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9553
- Practice address
- 5332 E Baseline Rd Apt 1097
Mesa, AZ 85206-4725 - Phone
- (646) 259-2308
- NPI assigned
- Dec 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 9553 | AZ | Primary |
Addresses
Primary practice location
5332 E Baseline Rd Apt 1097
Mesa, AZ 85206-4725
Mailing address
5332 E Baseline Rd Apt 1097
Mesa, AZ 85206-4725
Phone (646) 259-2308
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1076 W Chandler Blvd
Suite 108 109
Chandler, AZ 85224-5225
Phone (480) 264-3711
1345 E Main St
Suite 100
Mesa, AZ 85203-8950
Phone (480) 264-3711
1345 E Main St
Suite 205
Mesa, AZ 85203-8961
825 W Southern Ave
Suite 100
Phoenix, AZ 85041-4720
Phone (602) 243-3429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9553 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Kids Pediatrics P.C. | Current | Accepting new patients |
Locations
1033 N Arizona Ave
Chandler, AZ 85225
Phone (480) 300-4741
6710 W Camelback Rd
Ste A
Glendale, AZ 85303
1157 S Crismon Rd
Unit 102
Mesa, AZ 85208
1345 E Main St
Ste 103
Mesa, AZ 85203
Phone (480) 223-0290
1157 S Crismon Rd
Ste 102
Mesa, AZ 85208
Phone (480) 776-3790
3415 W Glendale Ave
Ste 32A
Phoenix, AZ 85051
Phone (602) 246-7462
1311 E Thomas Rd
Phoenix, AZ 85014
Phone (602) 322-1315
825 W Southern Ave
Ste 106
Phoenix, AZ 85041
Phone (602) 243-3429
825 W Southern Ave
Ste 100
Phoenix, AZ 85041
Phone (602) 243-3429
2033 E Warner Rd
Ste 109
Tempe, AZ 85284
Phone (480) 820-5525
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1538533799
-
- Pediatrics Physician
- Tempe, AZ
- NPI 1821288606
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1821050907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1336852169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5332 E BASELINE RD APT 1097",
"city": "MESA",
"state": "AZ",
"postal_code": "852064725",
"telephone_number": "646-259-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5332 E BASELINE RD APT 1097",
"city": "MESA",
"state": "AZ",
"postal_code": "852064725",
"telephone_number": "646-259-2308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBOA-LEMONIER",
"first_name": "RAFAEL",
"middle_name": "ANTONIO",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.