Individual provider Active NPI

Haley Tirado

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1902355530
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6462 Issued in AZ
Practice address
5424 E Southern Ave Ste 101
Mesa, AZ 85206-3621
Phone
(480) 633-6200
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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 6462 AZ Primary

Addresses

Primary practice location

5424 E Southern Ave Ste 101
Mesa, AZ 85206-3621

Mailing address

5424 E Southern Ave Ste 101
Mesa, AZ 85206-3621

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
I20161021001250 AZ Practitioner - Physician Assistant 8123306305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1355 S Higley Rd
Suite 104
Gilbert, AZ 85296-4799
Phone (480) 499-0201

25070 S Ellsworth Rd
Suite 101
Queen Creek, AZ 85142-0327
Phone (480) 499-0201

415 N Val Vista Dr
Suite 101
Mesa, AZ 85213-7059
Phone (480) 499-0201

920 E Williams Field Rd
Suite 101
Gilbert, AZ 85295-4880
Phone (480) 499-0201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Practice of Arizona, PLLC Current Accepting new patients
Primary Care Practice of Arizona, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Tri-City Express Care, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations (25 of 28)

3705 S Arizona Ave
Ste 1
Chandler, AZ 85248
Phone (480) 214-7828

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786

25070 S Ellsworth Rd
Ste 101
Queen Creek, AZ 85142
Phone (480) 499-0201

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

940 E University Dr
Ste 101
Tempe, AZ 85288
Phone (480) 214-0622

2720 W Baseline Rd
Tempe, AZ 85283
Phone (602) 777-6000

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

1804 W Elliot Rd
Tempe, AZ 85284
Phone (480) 456-0444

2460 N Swan Rd
Ste 140
Tucson, AZ 85712
Phone (520) 441-5405

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1902355530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 E SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 E SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063621",
            "telephone_number": "480-633-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.