Individual provider Active NPI

Gabriela C Isenia, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1730736604
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60392 Issued in CA
Practice address
740 E Highland Ave Ste 101
Phoenix, AZ 85014-3609
Phone
(602) 264-9044
Fax
(602) 264-0057
NPI assigned
Aug 24, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Arizona PC 14 clinicians

Practice addresses (Care Compare)

3302 N Miller Rd
Suite D
Scottsdale, AZ 85251-6489
Phone (480) 945-6356

740 E Highland Ave
Suite 101
Phoenix, AZ 85014-3609
Phone (602) 264-9044

Merit-based Incentive Payment System (MIPS)

Final score
82.18 of 100Reported as group
Quality
65.23
Promoting interoperability
100
Improvement activities
40
Cost
75.35

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
I20231012002684 AZ Practitioner - Physician Assistant 0648660423 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60392CAMDPharmacist
PA60392CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bill H. Halmi MD, PC PastSince Mar 24, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gabriela.isenia@epiphanyderm.emadirect.md

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60392 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

740 E Highland Ave Ste 101
Phoenix, AZ 85014-3609

Mailing address

7767 W Deer Valley Rd Ste 140
Peoria, AZ 85382-2103
Phone (623) 624-7200

Other practice location 1

7767 W Deer Valley Rd Ste 140
Peoria, AZ 85382-2103
Phone (623) 624-7200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2025.

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1730736604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7767 W DEER VALLEY RD STE 140",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822103",
            "telephone_number": "623-624-7200",
            "fax_number": "623-624-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E HIGHLAND AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143609",
            "telephone_number": "602-264-9044",
            "fax_number": "602-264-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7767 W Deer Valley Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822103",
            "country_code": "US",
            "telephone_number": "623-624-7200",
            "fax_number": "623-624-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISENIA",
        "first_name": "GABRIELA",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.