Individual provider Active NPI

Ruth Grace Wanjiru, PA

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1871309583
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11366 Issued in AZ
Practice address
3530 S Val Vista Dr # C101
Gilbert, AZ 85297-7318
Phone
(480) 840-9155
Fax
(480) 840-9320
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 11366 AZ Primary

Addresses

Primary practice location

3530 S Val Vista Dr # C101
Gilbert, AZ 85297-7318

Mailing address

3530 S Val Vista Dr # C101
Gilbert, AZ 85297-7318
Phone (480) 840-9155

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
I20251029003842 AZ Practitioner - Physician Assistant 3375032311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

21321 E Ocotillo Rd
Suite 133
Queen Creek, AZ 85142-5995
Phone (480) 987-5525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11366AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthyu Family Medicine, LLC CurrentSince Nov 17, 2025 Accepting new patients
Prescott Healthcare Solutions LLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

3530 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 722-2340

3530 S Val Vista Dr
Ste C101
Gilbert, AZ 85297
Phone (480) 840-9155

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

3530 S Val Vista Dr
#C101
Gilbert, AZ 85297
Phone (480) 840-9155

4135 S Power Rd
Ste 129
Mesa, AZ 85212
Phone (480) 751-3091

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

21321 E Ocotillo Rd
Ste 133
Queen Creek, AZ 85142
Phone (480) 900-7256

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4

Organizations & group practices 2

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1871309583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR # C101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR # C101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977318",
            "telephone_number": "480-840-9155",
            "fax_number": "480-840-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANJIRU",
        "first_name": "RUTH",
        "middle_name": "GRACE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.