Individual provider Active NPI

Maura Bridget Tardif, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1528216371
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
AZ4421 Issued in AZ
Practice address
5505 W Chandler Blvd Ste B13
Chandler, AZ 85226-3681
Phone
(480) 361-4780
Fax
(480) 361-4781
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X AZ4421 AZ Primary

Addresses

Primary practice location

5505 W Chandler Blvd Ste B13
Chandler, AZ 85226-3681

Mailing address

5505 W Chandler Blvd Ste B13
Chandler, AZ 85226-3681
Phone (480) 361-4780

Other identifiers 1

IdentifierTypeStateIssuer
439087MedicaidAZ

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
I20090916000125 AZ Practitioner - Physician Assistant 8527126028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jessica Blanco MD PCGroup PAC ID 1658356324, 2 clinicians

Practice addresses (Care Compare)

5505 W Chandler Blvd
Suite B 13
Chandler, AZ 85226-3683

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ4421AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Architetrics PC PastSince Apr 1, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1528216371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W CHANDLER BLVD STE B13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263681",
            "telephone_number": "480-361-4780",
            "fax_number": "480-361-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W CHANDLER BLVD STE B13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263681",
            "telephone_number": "480-361-4780",
            "fax_number": "480-361-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDIF",
        "first_name": "MAURA",
        "middle_name": "BRIDGET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "AZ4421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439087",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.