Individual provider Active NPI

Tiffany Michelle Janes, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1912473182
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7591 Issued in AZ
Practice address
4338 W Thomas Rd Ste 173
Phoenix, AZ 85031-3878
Phone
(602) 429-2239
Fax
(602) 559-5436
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 7591 AZ Primary

Addresses

Primary practice location

4338 W Thomas Rd Ste 173
Phoenix, AZ 85031-3878

Mailing address

4338 W Thomas Rd Ste 173
Phoenix, AZ 85031-3878
Phone (623) 570-6964

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
I20191113001286 AZ Practitioner - Physician Assistant 4183056195 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

3805 E Bell Rd
Suite 4800
Phoenix, AZ 85032-2173
Phone (602) 992-3162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients
West Valley Health Equity PastSince Sep 29, 2024 Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

3805 E Bell Rd
Ste 4800
Phoenix, AZ 85032
Phone (602) 633-3722

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1912473182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD STE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "623-570-6964",
            "fax_number": "480-559-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD STE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "602-429-2239",
            "fax_number": "602-559-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANES",
        "first_name": "TIFFANY",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.