Archana Pabla, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

312756 Issued in AZ

Practice address

5655 W Pontiac Dr
Glendale, AZ 85308-9117

Phone

(510) 393-4322

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Valley Emergency SpecialistsGroup PAC ID 4284537416, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• North Valley Emergency Specialists

  • Emergency Medicine Physician
  • Glendale, AZ
  • NPI 1285655209

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Caring Hearts Medical LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tempe, AZ
  • NPI 1033930177

  Multi-Specialty

  Medicare reassignment NPD
• Caring Hands Palliative and Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Tempe, AZ
  • NPI 1063004521
  NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1568294650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 W PONTIAC DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089117",
            "telephone_number": "510-393-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 W PONTIAC DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089117",
            "telephone_number": "510-393-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLA",
        "first_name": "ARCHANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "312756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewel Owens, LCSW
• Natasha Owens
• Loribeth Oxford Newman
• Adebowale Oluwole Oyelakin, MD
• Michelle D Ozenbaugh, LMT
• Thomas D. Pace, O.D.
• Kaylee Ann Paciora, PA-C, RDN
• Sukhdeep S Padda, MD
• Brian S Page, DO
• Jeffrey Clarke Page, DPM

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.

Verify at the official NPI Registry.