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

Alicia Moana Taase

Individual provider Surgery Physician · NPI 1083104368

Alicia Moana Taase is a General Surgery in Phoenix, Arizona. Graduated from University of Arizona College of Medicine - Phoenix in 2018, 8 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Trained at
University of Arizona College of Medicine - Phoenix
Licensed in
AZ
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1441 N 12th St
Phoenix, AZ 85006
Phone: (602) 521-5969
Fax: (602) 521-5904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6553 E Baywood Ave Ste 101, Mesa, AZ 85206-1753 — (480) 543-6750

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 70680 (AZ)
Surgery Physician Taxonomy 208600000X · Licence R77024 (AZ)

Record details

NPI number1083104368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2018
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Graduated 2018 (8 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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