Individual provider Active NPI

Ephraim Temple, PA-C

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1679083802
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6834 Issued in AZ
Practice address
3960 E Riggs Rd Ste 2
Chandler, AZ 85249-5411
Phone
(480) 786-4441
Fax
(480) 786-4609
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 6834 AZ Primary

Addresses

Primary practice location

3960 E Riggs Rd Ste 2
Chandler, AZ 85249-5411

Mailing address

3960 E Riggs Rd Ste 1
Chandler, AZ 85249-5411
Phone (480) 786-4441

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
I20171201001800 AZ Practitioner - Physician Assistant 9537426465 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6834AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care CurrentSince Jan 1, 2026 Accepting new patients
Grand Canyon Family Medicine PC CurrentSince Nov 16, 2021 Accepting new patients
Chandler Regional Medical Center Past Accepting new patients
Foot Ankle Specialty Centers, LLC PastSince Nov 16, 2021 Accepting new patients

Locations

3960 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone 4807864441 ext. 403

1501 N Gilbert Rd
Gilbert, AZ 85234
Phone (480) 503-5400

20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468

4545 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 728-4000

File 56224
Los Angeles, CA 90074

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1679083802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495411",
            "telephone_number": "480-786-4441",
            "fax_number": "480-786-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495411",
            "telephone_number": "480-786-4441",
            "fax_number": "480-786-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "EPHRAIM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.