San Raban
NPI 1104693191 · Physician Assistant · Gilbert, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Raban is a Physician Assistant provider in Gilbert, AZ (NPI 1104693191).
Provider details
- NPI number
- 1104693191
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Frequently asked questions
- What is San Raban's NPI number?
- San Raban's National Provider Identifier (NPI) is 1104693191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is San Raban's specialty?
- San Raban is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is San Raban located?
- San Raban's practice location on file with NPPES is 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165.
- What is San Raban's phone number?
- The practice phone number listed in the NPPES registry for San Raban is (480) 256-6444.
- Does San Raban accept Medicare?
- San Raban is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is San Raban's NPI active?
- Yes — San Raban's NPI (1104693191) is active in the NPPES registry as of the last update on 2025-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.