Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Idenise Cabanas, PA-C

Individual provider Medical Physician Assistant · NPI 1184630758

Idenise Cabanas, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 1997, 29 years ago. Practices with Deseret Family Medicine at Greenfield PLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
29
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1425 S Greenfield Rd 101
Mesa, AZ 85206-5529
Phone: (480) 981-3000
Fax: (480) 654-5761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2088 (AZ)

Record details

NPI number1184630758
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJanuary 23, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Deseret Family Medicine At Greenfield Plc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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