Active NPI
Karin Montiel Lopez, PA
- Medical Physician Assistant
- El Mirage, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 11437
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11437 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica la Familia, PC | Multi-Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; 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.