Individual provider Active NPI

Ichha Sethi, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1750786513
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5880 Issued in AZ
Practice address
1108 W Indian School Rd
Ste B
Phoenix, AZ 85013-3107
Phone
(602) 773-5600
Fax
(602) 773-5601
NPI assigned
Oct 22, 2014
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5880 AZ Primary

Addresses

Primary practice location

1108 W Indian School Rd
Ste B
Phoenix, AZ 85013-3107

Mailing address

1108 W Indian School Rd
Ste B
Phoenix, AZ 85013-3107
Phone (602) 773-5600

Other identifiers 1

IdentifierTypeStateIssuer
979989MedicaidAZ

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
I20150723009398 AZ Practitioner - Physician Assistant 4789997453 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Aug 1, 2016 Accepting new patients
Scottsdale Healthcare Corporation CurrentSince Aug 1, 2016 Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Tri-City Express Care, PLLC CurrentSince Sep 8, 2018 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Aug 1, 2016 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 1, 2016 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Del Lago Medical Inc Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations (25 of 40)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

3705 S Arizona Ave
Ste 1
Chandler, AZ 85248
Phone (480) 214-7828

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 214-4466

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

18404 N Tatum Blvd
Ste 102
Phoenix, AZ 85032
Phone (602) 485-7421

2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595

401 E Bell Rd
Ste 18
Phoenix, AZ 85022
Phone (602) 368-1403

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

Interoperability endpoints

  • Direct secure messaging: isethi@directaddress.net

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1750786513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W INDIAN SCHOOL RD",
            "address_2": "STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133107",
            "telephone_number": "602-773-5600",
            "fax_number": "602-773-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W INDIAN SCHOOL RD",
            "address_2": "STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133107",
            "telephone_number": "602-773-5600",
            "fax_number": "602-773-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "ICHHA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "979989",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.