Individual provider · Type 1 NPI

Elijah Jowell Gamboa Caparoso

Surgical Physician Assistant · Scottsdale, AZ

NPI number 1336094325 Active

Practice location

9003 E Shea Blvd
Scottsdale, AZ 85260-6709

Mailing address

39 Marvin Ln Apt 39
Piscataway, NJ 08854-5667

Other practice locations

  • 19829 N 27th Ave, Phoenix, AZ 85027-4001 · (623) 879-6100

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1336094325

Elijah Jowell Gamboa Caparoso's National Provider Identifier is 1336094325, issued on Mar 4, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Scottsdale, AZ. The record was last updated on Mar 4, 2026.