Individual provider Active NPI

Kalyn Tejada, PA-C

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1598646234
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2201 W Fairview St Ste 9
Chandler, AZ 85224-4704
Phone
(480) 470-4000
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AZ Primary

Addresses

Primary practice location

2201 W Fairview St Ste 9
Chandler, AZ 85224-4704

Mailing address

2201 W Fairview St Ste 9
Chandler, AZ 85224-4704
Phone (480) 470-4000

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
I20251014003117 AZ Practitioner - Physician Assistant 7719474766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Liver Health LLCGroup PAC ID 3274898010, 20 clinicians

Practice addresses (Care Compare)

2201 W Fairview St
Suite 9
Chandler, AZ 85224-4704
Phone (480) 470-4000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Liver Health, LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

2201 W Fairview St
Ste 9
Chandler, AZ 85224
Phone (480) 407-4000

600 S Dobson Rd
Ste B10
Chandler, AZ 85224
Phone (480) 857-2510

15396 N 83rd Ave
Bldg E
Peoria, AZ 85381
Phone (623) 234-3638

1601 N Swan Rd
Tucson, AZ 85712
Phone (520) 485-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1598646234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244704",
            "telephone_number": "480-470-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244704",
            "telephone_number": "480-470-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "KALYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.