Individual provider Active NPI

Alayna Kathryn Margulis, PA-C

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1801651773
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10508 Issued in AZ
Practice address
9494 W Northern Ave Ste 101
Glendale, AZ 85305-1119
Phone
(623) 872-2226
Fax
(623) 872-1018
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 10508 AZ Primary

Addresses

Primary practice location

9494 W Northern Ave Ste 101
Glendale, AZ 85305-1119

Mailing address

9494 W Northern Ave Ste 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

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
I20240821003014 AZ Practitioner - Physician Assistant 9830637891 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10508AZMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: alayna.margulispac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 3

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1801651773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9494 W NORTHERN AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051119",
            "telephone_number": "623-872-2226",
            "fax_number": "623-872-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9494 W NORTHERN AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051119",
            "telephone_number": "623-872-2226",
            "fax_number": "623-872-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGULIS",
        "first_name": "ALAYNA",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.