NPIMap

Individual provider Active NPI

Deanna L Lewis, PAC

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1750393609
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2971 Issued in AZ
Practice address
446 N Campbell Ave # 130
Tucson, AZ 85719-5660
Phone
(520) 305-3900
Fax
(888) 972-1912
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 2971 AZ Primary

Addresses

Primary practice location

446 N Campbell Ave # 130
Tucson, AZ 85719-5660

Mailing address

2920 Telegraph Ave Ste 100
Berkeley, CA 94705-2031
Phone (510) 561-0279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040501000381 AZ Practitioner - Physician Assistant 2264420058 Reassigns benefits to 1 organization
I20220721002319 CA Practitioner - Physician Assistant 2264420058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14540 Mono Way
Sonora, CA 95370-8858
Phone (209) 536-6680

23 N Main St
Suite 101
Angels Camp, CA 95222-8001
Phone (209) 736-9130

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2971AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Nov 20, 2024 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Mar 14, 2022 Accepting new patients
University Physicians Healthcare Past Accepting new patients

Locations

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

90 W River Rd
Tucson, AZ 85704
Phone (520) 912-4200

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

555 E Ocean Blvd
Ste 110
Long Beach, CA 90802
Phone (310) 709-6199

2010 E Carson St
Long Beach, CA 90807
Phone (213) 401-0371

2110 W Sunset Blvd
Ste M
Los Angeles, CA 90026
Phone (510) 686-3621

6160 Laurel Canyon Blvd
Ste 160
North Hollywood, CA 91606
Phone (213) 267-6536

600 E Colorado Blvd
Ste 120
Pasadena, CA 91101
Phone (323) 301-7988

500 First St
Paso Robles, CA 93446
Phone (805) 226-4222

415 N Pacific Coast Hwy
Ste 101
Redondo Beach, CA 90277
Phone (310) 295-9064

3032 Wilshire Blvd
Ste A
Santa Monica, CA 90403
Phone (310) 971-9957

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1750393609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 TELEGRAPH AVE STE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052031",
            "telephone_number": "510-561-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 N CAMPBELL AVE # 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195660",
            "telephone_number": "520-305-3900",
            "fax_number": "888-972-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DEANNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.