Individual provider Active NPI

Kayla Iwahashi, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1629525415
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006441 Issued in AZ
Practice address
2900 E Milber St
Tucson, AZ 85714
Phone
(520) 294-0005
NPI assigned
Sep 8, 2016
Last updated
Nov 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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 006441 AZ Primary

Addresses

Primary practice location

2900 E Milber St
Tucson, AZ 85714

Mailing address

5441 E 8TH St
Tucson, AZ 85711-3108

Other practice location 1

1121 S Gilbert Road
101
Mesa, AZ 85204
Phone (480) 644-9355

Other practice location 2

865 N Arizola Rd
Casa Grande, AZ 85122-6011
Phone (520) 836-3446

Other practice location 3

1121 S Gilbert Road
101
Mesa, AZ 85204
Phone (480) 644-9355

Other identifiers 3

IdentifierTypeStateIssuer
912044MedicaidAZ
ZFQ31815OtherAZMEDICARE
03-1815OtherAZMEDICARE

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
I20161020002305 AZ Practitioner - Physician Assistant 9133407489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
006441AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC CurrentSince Mar 23, 2020 Accepting new patients
Arizona Total Care LLC PastSince Jun 23, 2025 Accepting new patients
U2Rworthit1 LLC PastSince Oct 21, 2025 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

1866 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 825-2520

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

Organizations & group practices 4

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1629525415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 E 8TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E MILBER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85714",
            "telephone_number": "520-294-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 S Gilbert Road",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "85204",
            "country_code": "US",
            "telephone_number": "480-644-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "865 N Arizola Rd",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851226011",
            "country_code": "US",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 S Gilbert Road",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "85204",
            "country_code": "US",
            "telephone_number": "480-644-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWAHASHI",
        "first_name": "KAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "006441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912044",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZFQ31815",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "03-1815",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.