Individual provider Active NPI

Logan Linarte

  • Surgical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1578087474
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
6778 Issued in AZ
Practice address
485 S Dobson Rd Ste 110
Chandler, AZ 85224-5600
Phone
(480) 728-4470
Fax
(480) 728-4499
NPI assigned
Aug 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 6778 AZ Primary

Addresses

Primary practice location

485 S Dobson Rd Ste 110
Chandler, AZ 85224-5600

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

1217 E Frances Ln
Gilbert, AZ 85295-8397
Phone (928) 386-0734

Other practice location 2

1920 N Higley Rd Ste 206
Gilbert, AZ 85234-1624
Phone (480) 543-6700

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
I20171226002025 AZ Practitioner - Physician Assistant 3971861899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
680 DHMG St Joseph'S Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6778AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 1, 2018 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Community Medical Services Arizona-Private, LLC CurrentSince Sep 28, 2017 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 1, 2018 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Community Medical Services Arizona-Private, LLC PastSince Feb 1, 2021 Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

485 S Dobson Rd
Ste 110
Chandler, AZ 85224
Phone (480) 728-4470

1459 S Higley Rd
Ste 106
Gilbert, AZ 85296
Phone (480) 543-6780

1920 N Higley Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 543-6700

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

File 56765
Los Angeles, CA 90074

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1578087474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD STE 110",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245600",
            "telephone_number": "480-728-4470",
            "fax_number": "480-728-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 E Frances Ln",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958397",
            "country_code": "US",
            "telephone_number": "928-386-0734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 N Higley Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341624",
            "country_code": "US",
            "telephone_number": "480-543-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINARTE",
        "first_name": "LOGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "6778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.