Individual provider Active NPI

Karin Montiel Lopez, PA

  • Medical Physician Assistant
  • El Mirage, AZ
National Provider Identifier
1487495560
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11437 Issued in AZ
Practice address
15235 N Dysart Rd Ste 103
El Mirage, AZ 85335-7801
Phone
(602) 569-3999
Fax
(623) 215-7161
NPI assigned
Jun 4, 2024
Last updated
Feb 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 11437 AZ Primary

Addresses

Primary practice location

15235 N Dysart Rd Ste 103
El Mirage, AZ 85335-7801

Mailing address

15235 N Dysart Rd
El Mirage, AZ 85335-7800
Phone (602) 569-3999

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
I20260406002765 AZ Practitioner - Physician Assistant 1658846886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica la Familia PCGroup PAC ID 4082694781, 38 clinicians

Practice addresses (Care Compare)

15235 N Dysart Rd
El Mirage, AZ 85335-9738
Phone (602) 569-3999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11437AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica la Familia, PC Multi-Specialty CurrentSince Jan 6, 2026 Accepting new patients

Locations

15235 N Dysart Rd
El Mirage, AZ 85335

15235 N Dysart Rd
Ste 103
El Mirage, AZ 85335

4250 W Baseline Rd
Laveen, AZ 85339

13402 N 32nd St
Ste 5
Phoenix, AZ 85032
Phone (623) 931-2444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1487495560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 N DYSART RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853357800",
            "telephone_number": "602-569-3999",
            "fax_number": "623-215-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 N DYSART RD STE 103",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853357801",
            "telephone_number": "602-569-3999",
            "fax_number": "623-215-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL LOPEZ",
        "first_name": "KARIN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "11437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

Verify at the official NPI Registry.