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

Dr. Jaiva Blair Larsen, MD

Individual provider Medical Toxicology (Emergency Medicine) Physician · NPI 1275820888

Dr. Jaiva Blair Larsen, MD is an Emergency Medicine in Tucson, Arizona. Graduated from Georgetown University School of Medicine in 2011, 15 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Trained at
Georgetown University School of Medicine
Licensed in
AZ
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2800 E Ajo Way Ua/uphk Gme Consortium Emergency Medicine Program
Tucson, AZ 85713-6204
Phone: (503) 939-6612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence R72785 (AZ)
Medical Toxicology (Emergency Medicine) Physician Taxonomy 207PT0002X · Licence 52282 (AZ)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 52282 (AZ)

Record details

NPI number1275820888
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2011
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesADDICTION MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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