Active NPI
Phoenix First Assists LLC
- Surgical Physician Assistant
- Phoenix, AZ
National Provider Identifier
1801039813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- PHOENIX FIRST ASSISTS LLC
- Practice address
- 3131 E Clarendon Ave
Suite 102
Phoenix, AZ 85016-7069 - Phone
- (602) 253-9168
- Fax
- (602) 251-3126
- NPI assigned
- Apr 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hao Kenith Fang, MD
- Title
- Owner
- Phone
- (602) 253-9168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
3131 E Clarendon Ave
Suite 102
Phoenix, AZ 85016-7069
Mailing address
3131 E Clarendon Ave
Suite 102
Phoenix, AZ 85016-7069
Phone (602) 253-9168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421193 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
3131 E Clarendon Ave
Ste 102
Phoenix, AZ 85016
Phone (602) 253-9168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394150400000",
"number": "1801039813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 E CLARENDON AVE",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167069",
"telephone_number": "602-253-9168",
"fax_number": "602-251-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 E CLARENDON AVE",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167069",
"telephone_number": "602-253-9168",
"fax_number": "602-251-3126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX FIRST ASSISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-07",
"last_updated": "2014-03-07",
"status": "A",
"authorized_official_last_name": "FANG",
"authorized_official_first_name": "HAO",
"authorized_official_middle_name": "KENITH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-253-9168",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421193",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Phoenix Family Physicians, LTD.
- Phoenix Family Wellness PLLC
- Phoenix Federal Correctional Institute
- Phoenix Feeding Therapy, PLLC
- Phoenix First Assist LLC
- Phoenix Foot & Ankle Associates PC
- Phoenix Gi Associates PC
- Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission
- Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission
- Phoenix Head and Neck Surgery LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.