Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Taravine

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1811770910

Jackson Taravine is a Physician Assistant in Surprise, Arizona. Qualified in 2023, 3 years ago. Practices with Afc of Surprise, PLLC, a 12-clinician group, works from 9 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
Specialties on file
10
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Practice location Address checks out

14239 W Bell Rd Ste 108
Surprise, AZ 85374-2470
Phone: (623) 248-4283
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 3011 S Lindsay Rd Ste 101, Gilbert, AZ 85295-4333 — (480) 726-2500
  • 3130 E Baseline Rd Ste 107, Mesa, AZ 85204-7290 — (480) 345-1980
  • 2919 S Ellsworth Rd Ste 111, Mesa, AZ 85212-2165 — (480) 564-1185
  • 15256 N 75th Ave Ste 360, Peoria, AZ 85381-4761 — (623) 486-2424
  • 20860 N Tatum Blvd Ste 290, Phoenix, AZ 85050-4282 — (480) 563-1144
  • 1277 E Missouri Ave Ste 101, Phoenix, AZ 85014-2916 — (602) 296-4060
  • 270 E Hunt Hwy Ste A-2, San Tan Valley, AZ 85143-4962 — (480) 882-2222
  • 2145 E Warner Rd Ste 104, Tempe, AZ 85284-3549 — (480) 664-9443

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10227 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 70349500001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7047150001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7209350001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7939960001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 704516001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7046960001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 8220410001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7629170001 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7057360001 (AZ)

Record details

NPI number1811770910
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Afc Of Surprise, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Surprise