Individual provider Active NPI

Jina Naaim

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1952128381
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916
Phone
(480) 467-2273
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 Primary

Addresses

Primary practice location

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916

Mailing address

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2916
Phone (480) 467-2273

Other practice location 1

14455 W Van Buren St # 100
Goodyear, AZ 85338-9209
Phone (623) 518-2386

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
I20250120000398 AZ Practitioner - Physician Assistant 6608305776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Pain and Wellness PLCGroup PAC ID 0840567111, 7 clinicians

Practice addresses (Care Compare)

1277 E Missouri Ave
Suite 102
Phoenix, AZ 85014-2916
Phone (480) 467-2273

18511 N Scottsdale Rd
Suite 202
Scottsdale, AZ 85255-9694
Phone (480) 306-7242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Pain and Wellness PLC Physician Assistant CurrentSince Dec 1, 2024 Accepting new patients
Innovative Pain and Wellness PLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

6553 E Baywood Ave
Ste 201
Mesa, AZ 85206
Phone (480) 206-7242

1277 E Missouri Ave
Ste 102
Phoenix, AZ 85014
Phone (480) 467-2273

5425 E Bell Rd
Ste 115
Scottsdale, AZ 85254
Phone (480) 467-2273

18511 N Scottsdale Rd
Ste 202
Scottsdale, AZ 85255
Phone (480) 306-7242

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1952128381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142916",
            "telephone_number": "480-467-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142916",
            "telephone_number": "480-467-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14455 W Van Buren St # 100",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853389209",
            "country_code": "US",
            "telephone_number": "623-518-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAAIM",
        "first_name": "JINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.