Active NPI
Aimee Lynn Hada, PA-C
- Medical Physician Assistant
- Mesa, AZ
National Provider Identifier
1508024175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3731
- Practice address
- 2919 S Ellsworth Rd
Ste. 124
Mesa, AZ 85212-2164 - Phone
- (480) 361-3636
- Fax
- (480) 361-2525
- NPI assigned
- May 29, 2008
- 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 | 3731 | AZ | Primary |
Addresses
Primary practice location
2919 S Ellsworth Rd
Ste. 124
Mesa, AZ 85212-2164
Mailing address
4126 E Jasper Dr
Gilbert, AZ 85296-8461
Phone (480) 246-0753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1508024175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 E JASPER DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852968461",
"telephone_number": "480-246-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 S ELLSWORTH RD",
"address_2": "STE. 124",
"city": "MESA",
"state": "AZ",
"postal_code": "852122164",
"telephone_number": "480-361-3636",
"fax_number": "480-361-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADA",
"first_name": "AIMEE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.