Individual provider Active NPI

Clint Demas, PA-C

  • Medical Physician Assistant
  • Glendale, AZ
National Provider Identifier
1861829665
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5523 Issued in AZ
Practice address
5002 W Glendale Ave
Suite 101
Glendale, AZ 85301-2756
Phone
(623) 847-5300
Fax
(623) 847-5304
NPI assigned
Oct 11, 2013
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5523 AZ Primary

Addresses

Primary practice location

5002 W Glendale Ave
Suite 101
Glendale, AZ 85301-2756

Mailing address

16035 W Desert Mirage Dr
Surprise, AZ 85379-4827
Phone (435) 862-2124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20200319000071 UT Practitioner - Physician Assistant 6204064975 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
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1333 N Main St
Cedar City, UT 84721-9314

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5523AZMDOccupational Therapist
5529AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Mar 2, 2020 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Ihc Health Services Inc CurrentSince Mar 2, 2020 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations (25 of 34)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

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

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 353-2210

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

3051 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2591

2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570

7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260
Phone (480) 348-1060

2530 W State Route 89A
Ste A
Sedona, AZ 86336
Phone (520) 203-4813

9745 W Bell Rd
Ste 105
Sun City, AZ 85351
Phone (623) 742-2999

14800 W Mountain View Blvd
Ste 190
Surprise, AZ 85374
Phone (623) 385-7299

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1861829665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16035 W DESERT MIRAGE DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794827",
            "telephone_number": "435-862-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 W GLENDALE AVE",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012756",
            "telephone_number": "623-847-5300",
            "fax_number": "623-847-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAS",
        "first_name": "CLINT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-11",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.