Individual provider Active NPI

Anna Elaine Gould, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1790392157
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9313 Issued in AZ
Practice address
4400 N 32ND St Ste 250
Phoenix, AZ 85018-3978
Phone
(602) 277-7686
NPI assigned
Sep 29, 2020
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 9313 AZ Primary

Addresses

Primary practice location

4400 N 32ND St Ste 250
Phoenix, AZ 85018-3978

Mailing address

8993 W Ruth Ave
Peoria, AZ 85345-7983
Phone (928) 304-5474

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
I20221221001324 AZ Practitioner - Physician Assistant 6204206923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saguaro Dermatology Associates LLCGroup PAC ID 3577892561, 13 clinicians

Practice addresses (Care Compare)

2150 S Dobson Rd
Suite 1
Mesa, AZ 85202-6487
Phone (480) 820-9774

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
91.59
Promoting interoperability
94
Improvement activities
40
Cost
76.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9313AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saguaro Dermatology Associates LLC CurrentSince Sep 22, 2025 Accepting new patients
All Dermatology, Inc. CurrentSince Oct 26, 2022 Accepting new patients
All Dermatology, Inc. CurrentSince Oct 26, 2022 Accepting new patients
Saguaro Dermatology Associates LLC CurrentSince Sep 22, 2025 Accepting new patients
The Center for Advanced Dermatology, P.C. PastSince May 1, 2001 Accepting new patients

Locations

2150 S Dobson Rd
Ste 1
Mesa, AZ 85202
Phone (480) 780-3092

3400 E McDowell Rd
Phoenix, AZ 85008
Phone (480) 681-3300

4400 N 32nd St
Ste 250
Phoenix, AZ 85018
Phone (602) 277-7686

4425 E Agave Rd
Ste 148
Phoenix, AZ 85044
Phone (480) 704-7546

4530 E Shea Blvd
Ste 101
Phoenix, AZ 85028
Phone (602) 867-7546

Interoperability endpoints

  • Direct secure messaging: agould@lalasercenter.emadirect.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1790392157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8993 W RUTH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457983",
            "telephone_number": "928-304-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183978",
            "telephone_number": "602-277-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ANNA",
        "middle_name": "ELAINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.