Individual provider Active NPI

Sofia McKenzie Vacca

  • Physician Assistant
  • Litchfield Park, AZ
National Provider Identifier
1841966710
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9604 Issued in AZ
Practice address
14044 W Camelback Rd Ste 226
Litchfield Park, AZ 85340-9426
Phone
(623) 233-1050
Fax
(623) 215-7137
NPI assigned
Aug 19, 2021
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 9604 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

14044 W Camelback Rd Ste 226
Litchfield Park, AZ 85340-9426

Mailing address

14044 W Camelback Rd Ste 226
Litchfield Park, AZ 85340-9426
Phone (623) 233-1050

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
I20230421002108 AZ Practitioner - Physician Assistant 5294190401 Reassigns benefits to 2 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
Vein Envy LLCGroup PAC ID 6507111671, 5 clinicians

Practice addresses (Care Compare)

14044 W Camelback Rd
Suite 226
Litchfield Park, AZ 85340-9426
Phone (623) 233-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9604AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Envy LLC CurrentSince Jun 23, 2025 Accepting new patients
Foot Envy, LLC CurrentSince Jun 23, 2025 Accepting new patients
Palo Verde Hematology Oncology LTD. CurrentSince Apr 10, 2023 Accepting new patients
Arizona Urology Specialists, PLLC PastSince Oct 1, 2018 Accepting new patients
Arizona Digestive Health, PC PastSince Aug 1, 2025 Accepting new patients

Locations

13555 W McDowell Rd
Ste 201
Goodyear, AZ 85395
Phone (602) 246-9006

14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882

14044 W Camelback Rd
Ste 226
Litchfield Pk, AZ 85340
Phone (623) 233-1050

130 S 63rd St
Ste 101
Mesa, AZ 85206
Phone (480) 985-6000

20040 N 19th Ave
Ste D
Phoenix, AZ 85027
Phone (623) 233-1050

4545 E Chandler Blvd
Ste 202
Phoenix, AZ 85048
Phone (480) 961-2333

9250 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 478-8091

13991 W Grand Ave
Ste B102
Surprise, AZ 85374
Phone (623) 233-1050

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1841966710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 226",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409426",
            "telephone_number": "623-233-1050",
            "fax_number": "623-215-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 226",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409426",
            "telephone_number": "623-233-1050",
            "fax_number": "623-215-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCA",
        "first_name": "SOFIA",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9604",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.