Active NPI
Kayla Iwahashi, PA-C
- Physician Assistant
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006441
- Practice address
- 2900 E Milber St
Tucson, AZ 85714 - Phone
- (520) 294-0005
- NPI assigned
- Sep 8, 2016
- Last updated
- Nov 15, 2019
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 912044 | Medicaid | AZ | |
| ZFQ31815 | Other | AZ | MEDICARE |
| 03-1815 | Other | AZ | MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006441 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Community Physicians PC | Current | Accepting new patients | |
| Arizona Total Care LLC | Past | Accepting new patients | |
| U2Rworthit1 LLC | Past | 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.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1205871076
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1255228433
-
dba Sun Life Family Health Center-Florence
- Federally Qualified Health Center (FQHC)
- Florence, AZ
- NPI 1902278252
-
- Primary Care Nurse Practitioner
- Tucson, AZ
- NPI 1265187900
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.