Jackson Taravine Sr
NPI 1467316042 · Medical Physician Assistant · Chandler, AZ
Jackson Taravine Sr is a Medical Physician Assistant organization in Chandler, AZ (NPI 1467316042).
Provider details
- NPI number
- 1467316042
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jackson Taravine, Owner(786) 865-3586
Specialties & taxonomies
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
Under 1 yr in registry
- Profile completeness38% of score
100% 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
- 2025-12-09
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Frequently asked questions
- What is Jackson Taravine Sr's NPI number?
- Jackson Taravine Sr's National Provider Identifier (NPI) is 1467316042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Taravine Sr?
- Jackson Taravine Sr is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackson Taravine Sr located?
- Jackson Taravine Sr's practice location on file with NPPES is 1256 W Chandler Blvd Ste G, Chandler, AZ 85224-5208.
- What is Jackson Taravine Sr's phone number?
- The practice phone number listed in the NPPES registry for Jackson Taravine Sr is (480) 712-7108.
- Who is the authorized official for Jackson Taravine Sr?
- The authorized official listed on Jackson Taravine Sr's NPPES record is Jackson Taravine, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Taravine Sr's NPI active?
- Yes — Jackson Taravine Sr's NPI (1467316042) is active in the NPPES registry as of the last update on 2026-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.