Individual provider Active NPI

Rafael Antonio Noboa-Lemonier, PA

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1336852169
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9553 Issued in AZ
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

Updated by the provider on Dec 26, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201001309 AZ Practitioner - Physician Assistant 3375914245 Reassigns benefits to 2 organizations

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
Feliz Family Care PLLCGroup PAC ID 3274838586, 8 clinicians

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

LicenseStateTypeSpecialty
9553AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Kids Pediatrics P.C. CurrentSince Jun 24, 2023 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.

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

Verify at the official NPI Registry.