Individual provider Active NPI

Faith Loga, PA-C

  • Physician Assistant
  • Peoria, AZ
National Provider Identifier
1407584501
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10053 Issued in AZ
Practice address
13760 N 93Rd Ave Ste 101
Peoria, AZ 85381-4203
Phone
(623) 547-2600
Fax
(623) 547-1899
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 10053 AZ Primary

Addresses

Primary practice location

13760 N 93Rd Ave Ste 101
Peoria, AZ 85381-4203

Mailing address

3260 N Hayden Rd Ste 112
Scottsdale, AZ 85251-6650
Phone (602) 264-9100

Other practice location 1

14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600

Other practice location 2

635 E Baseline Rd
Phoenix, AZ 85042-6583
Phone (602) 323-3344

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
I20231206002612 AZ Practitioner - Physician Assistant 2466801154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Park Health CenterGroup PAC ID 8325949647, 117 clinicians

Practice addresses (Care Compare)

325 E Baseline Rd
Phoenix, AZ 85042-6510
Phone (602) 243-7277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Nov 13, 2023 Accepting new patients
Mountain Park Health Center CurrentSince Nov 13, 2023 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

635 E Baseline Rd
Phoenix, AZ 85042

325 E Baseline Rd
Phoenix, AZ 85042
Phone (602) 824-4200

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

Organizations & group practices 5

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1407584501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 N HAYDEN RD STE 112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516650",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13760 N 93RD AVE STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814203",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14044 W Camelback Rd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853409481",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 E Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850426583",
            "country_code": "US",
            "telephone_number": "602-323-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGA",
        "first_name": "FAITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.