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

Chad Jarvis, DA-C

Individual provider Physician Assistant · NPI 1619974664

Chad Jarvis, DA-C is a Physician Assistant in Tooele, Utah. Qualified in 2004, 22 years ago. Practices with Mountain West Family Practice LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
22
Licensed in
UT
In the registry since
2005
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Practice location Address checks out

2356 N 400 E Ste 201
Tooele, UT 84074
Phone: (435) 882-2350
Fax: (435) 882-2039
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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 57467031206 (UT)

Record details

NPI number1619974664
Entity typeIndividual (Type 1)
GenderMale
Credentials DA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2005
Last updated in NPPESJuly 14, 2009
Mailing address2356 N 400 E, Ste 201, Tooele, UT 84074

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mountain West Family Practice Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tooele