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SHANTALA MASK P.A.
NPI 1336304427
Physician Assistant - Medical in Phoenix, AZ

Active since July 28, 2008
4136 N 75TH AVE, STE. 101, PHOENIX, AZ 85033(623) 849-2220(623) 849-2574 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shantala Mask P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTALA MASK P.A. (NPI 1336304427) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (2911) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1336304427
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANTALA MASKCredential: P.A.
Location Address4136 N 75TH AVE, STE. 101Phoenix, AZ 85033-3171
Mailing Address4136 N 75th Ave, Ste. 101Phoenix, AZ 85033-3171 · (623) 849-2220 · Fax (623) 849-2574
Phone(623) 849-2220
Fax(623) 849-2574
Sole ProprietorNo
Enumeration DateJuly 28, 2008
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1336304427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 2911
4136 N 75TH AVE, Phoenix, AZ 85033
Open in Google Maps ↗

Other Identifiers 1

Other2911AZ · Physician Assistant License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST PARK MEDICAL CORP
Family Medicine
4136 N 75TH AVE, SUITE 116
PHOENIX, AZ 85033
Maricopa County (623) 849-1869
SPECTRUM HEALTH CENTER, P.C.
Family Medicine
4136 N 75TH AVE, STE 101
PHOENIX, AZ 85033
Maricopa County (623) 849-2220
AMY HAAS
Nurse Practitioner (Psychiatric/Mental Health)
4136 N 75TH AVE
PHOENIX, AZ 85033
Maricopa County (623) 247-1234
BECKY VAN BUREN FNP
Nurse Practitioner (Family)
4136 N 75TH AVE, STE 101
PHOENIX, AZ 85033
Maricopa County (623) 849-2220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shantala Mask's NPI number?

The NPI number for Shantala Mask is 1336304427. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Shantala Mask located?

Shantala Mask practices at 4136 N 75th Ave Ste. 101, Phoenix, AZ 85033. The listed phone number is (623) 849-2220.

What is Shantala Mask's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Shantala Mask accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Shantala Mask as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shantala Mask was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.