Individual provider Active NPI

Amanda Vitagliano, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1801218490
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5622 Issued in AZ
Practice address
333 W Thomas Rd Ste 100
Phoenix, AZ 85013-4424
Phone
(602) 368-3939
NPI assigned
Jan 15, 2014
Last updated
May 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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 5622 AZ Primary

Addresses

Primary practice location

333 W Thomas Rd Ste 100
Phoenix, AZ 85013-4424

Mailing address

333 W Thomas Rd Ste 100
Phoenix, AZ 85013-4424

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
I20140402000298 AZ Practitioner - Physician Assistant 6901037191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

Practice addresses (Care Compare)

4550 E Bell Rd
Suite 170
Phoenix, AZ 85032-9385
Phone (480) 443-8400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Arthritis & Rheumatology Associates P C CurrentSince Oct 30, 2025 Accepting new patients
Arizona Arthritis and Rheumatology Associates CurrentSince Oct 30, 2025 Accepting new patients
4C Medical Group PLC Past Accepting new patients
Emergency Professional Services PC Physician Assistant Past Accepting new patients

Locations

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400

Interoperability endpoints

  • Direct secure messaging: amanda.vitagliano.p1@direct.aara.nextgenshare.com

Organizations & group practices 4

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": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1801218490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134424",
            "telephone_number": "602-368-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAGLIANO",
        "first_name": "AMANDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.