Individual provider Active NPI

Daryl Greenhall, PA

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1780283580
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8264 Issued in AZ
Practice address
1744 S Val Vista Dr Ste 5-108
Mesa, AZ 85204-7362
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 8264 AZ Primary

Addresses

Primary practice location

1744 S Val Vista Dr Ste 5-108
Mesa, AZ 85204-7362

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other names 1

  • Daryl Howden Former name

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
I20240426000249 AZ Practitioner - Physician Assistant 9537509302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

1744 S Val Vista Dr
Suite 5 108 5 110
Mesa, AZ 85204-7362
Phone (888) 663-6331

2196 E Williams Field Rd
Suite 116
Gilbert, AZ 85295-0755
Phone (888) 405-6396

3137 W Indian School Rd
Phoenix, AZ 85017-4069
Phone (888) 405-6396

7150 E Camelback Rd
Suite 105
Scottsdale, AZ 85251-1240
Phone (888) 405-6396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8264AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC CurrentSince May 20, 2024 Accepting new patients
Iora Senior Health, LLC CurrentSince May 20, 2024 Accepting new patients
One Medical Group of Arizona, PC Past Accepting new patients

Locations

1744 S Val Vista Dr
Ste 5108
Mesa, AZ 85204
Phone (888) 663-6631

2201 E Camelback Rd
Ste 101A
Phoenix, AZ 85016
Phone (602) 218-4075

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1780283580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 S VAL VISTA DR STE 5-108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047362",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHALL",
        "first_name": "DARYL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARYL",
            "last_name": "HOWDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.