Pawanvir Singh Tung, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8674 Issued in AZ

Practice address

5620 W Thunderbird Rd Ste B3
Glendale, AZ 85306-4638

Phone

(602) 206-6262

Fax

(602) 206-6262

NPI assigned

Mar 5, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Valley Sleep Physicians, Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Mesa, AZ
  • NPI 1265874630
  Medicare reassignment
• Valley Oximetry Incorporated

  • Sleep Disorder Diagnostic Clinic/Center
  • Chandler, AZ
  • NPI 1437465044
  NPD (past)
• Valley Oximetry Incorporated

  • Sleep Disorder Diagnostic Clinic/Center
  • Scottsdale, AZ
  • NPI 1801102413
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1457946964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE B3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064638",
            "telephone_number": "602-206-6262",
            "fax_number": "602-235-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE B3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064638",
            "telephone_number": "602-206-6262",
            "fax_number": "602-206-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "PAWANVIR",
        "middle_name": "SINGH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sonoransleep.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "5620 W Thunderbird Rd Ste B3",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853064638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tucker Bag LLC
• Aremy Dianne Tucker, RN
• Michael Ned Tucker, PA-C
• Amalia Tulbure, FNP-C
• Padmavathy Tummala, M.D.
• Breanne Jean Tuohy, PT, DPT
• Garyn Tuquero
• Amida Victoria Turay
• Samantha Megan Turk, PHARM D
• Christa Selene Turmo, MLT

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.