Individual provider Active NPI

Mayra Garibay, PA

  • Physician Assistant
  • Orland Park, IL
National Provider Identifier
1891469615
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085008881 Issued in IL
Practice address
10755 163Rd PL
Orland Park, IL 60467-8861
Phone
(708) 873-1187
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 085008881 IL Primary

Addresses

Primary practice location

10755 163Rd PL
Orland Park, IL 60467-8861

Mailing address

10755 163Rd PL
Orland Park, IL 60467-8861
Phone (708) 873-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220811003786 IL Practitioner - Physician Assistant 4688057458 Reassigns benefits to 1 organization
I20241022004332 CA Practitioner - Physician Assistant 4688057458 Reassigns benefits to 1 organization
I20260327000558 NY Practitioner - Physician Assistant 4688057458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Downers Grove, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zaghi Medical IncGroup PAC ID 9931555141, 21 clinicians

Practice addresses (Care Compare)

245 5TH Ave
FL 3
New York, NY 10016-8728
Phone (646) 868-2970

350 Parnassus Ave
700B
San Francisco, CA 94117-3608
Phone (424) 600-8360

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Care Medical PCP Illinois CurrentSince May 23, 2022 Accepting new patients
Advance Care Medical Illinois CurrentSince May 23, 2022 Accepting new patients
Zaghi Medical Inc CurrentSince Jun 28, 2025 Accepting new patients
Health Service Systems, Inc PastSince Mar 17, 2024 Accepting new patients

Locations

5665 Wilshire Blvd
Los Angeles, CA 90036
Phone (209) 372-7025

350 Parnassus Ave
#700B
San Francisco, CA 94117
Phone (424) 600-8360

350 Parnassus Ave
Ste 700B
San Francisco, CA 94117
Phone (424) 600-8360

2975 Showplace Dr
Naperville, IL 60564
Phone (331) 529-6513

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1891469615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 163RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678861",
            "telephone_number": "708-873-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 163RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678861",
            "telephone_number": "708-873-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIBAY",
        "first_name": "MAYRA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.