Individual provider Active NPI

Jamie Ahner, PA

  • Physician Assistant
  • Sun City West, AZ
National Provider Identifier
1497957450
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17572 Issued in CA
Practice address
14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375-5855
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Jun 1, 2007
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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 PA17572 CA Primary

Addresses

Primary practice location

14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375-5855

Mailing address

501 Washington St
Suite 705
San Diego, CA 92103-2231
Phone (619) 298-0256

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
I20171204002376 AZ Practitioner - Physician Assistant 1658389648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Orthopedics LLCGroup PAC ID 7810365145, 12 clinicians

Practice addresses (Care Compare)

10290 N 92ND St
Suite 101
Scottsdale, AZ 85258-4508
Phone (480) 697-4824

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17572CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Az Orthopedics LLC CurrentSince Jan 10, 2026 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince May 17, 2023 Accepting new patients
Az Orthopedics LLC Physician Assistant CurrentSince Jan 10, 2026 Accepting new patients
Western Med Group LLC CurrentSince Feb 4, 2022 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince May 17, 2023 Accepting new patients
Daniel J. Bressler, M.D., Inc. Past Accepting new patients
Physician Group of Arizona Inc PastSince Jan 19, 2020 Accepting new patients

Locations

13660 N 94th Dr
Ste C4
Peoria, AZ 85381
Phone (480) 697-4824

7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

10200 N 92nd St
Ste 225
Scottsdale, AZ 85258
Phone (480) 391-3885

10290 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 697-4824

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1497957450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON ST",
            "address_2": "SUITE 705",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032231",
            "telephone_number": "619-298-0256",
            "fax_number": "619-688-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14520 W GRANITE VALLEY DR STE 210",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755855",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHNER",
        "first_name": "JAMIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.