Active NPI
Werleight M De Montas Osias, PA
- Physician Assistant
- San Tan Valley, AZ
National Provider Identifier
1548035611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9776
- Practice address
- 29410 N Gold LN
San Tan Valley, AZ 85143-5698 - Phone
- (516) 410-5843
- NPI assigned
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9776 | AZ | Primary |
Addresses
Primary practice location
29410 N Gold LN
San Tan Valley, AZ 85143-5698
Mailing address
29410 N Gold LN
San Tan Valley, AZ 85143-5698
Phone (516) 410-5843
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9776 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1548035611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29410 N GOLD LN",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435698",
"telephone_number": "516-410-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29410 N GOLD LN",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435698",
"telephone_number": "516-410-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSIAS",
"first_name": "WERLEIGHT M",
"middle_name": "DE MONTAS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.