Individual provider Active NPI

Rachel Lebovitz, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1760853352
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6234 Issued in AZ
Practice address
6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753
Phone
(480) 543-6750
NPI assigned
Oct 8, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 6234 AZ Primary

Addresses

Primary practice location

6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753

Mailing address

6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753
Phone (480) 543-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760853352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "480-543-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061753",
            "telephone_number": "480-543-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOVITZ",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.