Individual provider · Type 1 NPI

Mia Dimayuga

Physician Assistant · Glendale, AZ

NPI number 1245159201 Active

Practice location

5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558

Call (623) 435-0190 Map

Mailing address

2811 W Deer Valley Rd Apt 2065
Phoenix, AZ 85027-2383

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245159201

Mia Dimayuga's National Provider Identifier is 1245159201, issued on Jul 14, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glendale, AZ. The record was last updated on Jul 14, 2026.