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

Avigayil Malia Tanami, PA

Individual provider Physician Assistant · NPI 1124748413

Avigayil Malia Tanami, PA is a Physician Assistant in Gilbert, Arizona. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2022, 4 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
4
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
AZ, NY
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone: (480) 256-6444
Fax: (480) 256-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9202 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 028735 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9202 (AZ)

Record details

NPI number1124748413
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2022 (4 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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