Active NPI
Maria G Robles, PA
- Physician Assistant
- Tucson, AZ
National Provider Identifier
1457413759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3460
- Practice address
- 3770 S 16TH Ave
Tucson, AZ 85713-6081 - Phone
- (520) 620-1200
- Fax
- (520) 620-1400
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3460 | AZ | Primary |
Addresses
Primary practice location
3770 S 16TH Ave
Tucson, AZ 85713-6081
Mailing address
9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (951) 354-3216
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z78444 | Other | AZ | MEDICARE PIN GROUP |
| PA15645 | Medicaid | CA | |
| 0PA15645 | Other | CA | MEDICARE PPIN |
| 132095 | Other | AZ | AHCCCS |
| 706393 | Other | AZ | AHCCCS GROUP |
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3770 S 16TH Ave
Tucson, AZ 85713-6081
Phone (520) 620-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3460 | AZ | MD | General Practice Dentistry |
| 15645 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Urgent Care Services, LLC | Past | Accepting new patients | |
| Ucxtra Umbrella, LLC | Past | Accepting new patients |
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
- Tucson, AZ
- NPI 1497829949
-
- Urgent Care Clinic/Center
- San Tan Valley, AZ
- NPI 1942653019
-
- Urgent Care Clinic/Center
- Chandler, AZ
- NPI 1518952365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1457413759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9939 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033528",
"telephone_number": "951-354-3216",
"fax_number": "951-848-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3770 S 16TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136081",
"telephone_number": "520-620-1200",
"fax_number": "520-620-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "MARIA",
"middle_name": "G",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN GROUP",
"identifier": "Z78444",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA15645",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PPIN",
"identifier": "0PA15645",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "132095",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS GROUP",
"identifier": "706393",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.