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

Individual provider Physician Assistant · NPI 1649012386

Karissa Bustamante Coates, PA is a Physician Assistant in Glendale, Arizona. Graduated from Yale University School of Medicine in 2024, 2 years ago. Practices with Neighborhood Outreach Access to Health, a 104-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
Yale University School of Medicine
In the registry since
2024
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

11851 N 51st Ave Ste B110
Glendale, AZ 85304-2823
Phone: (480) 882-4545
Fax: (623) 207-7410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1649012386
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Neighborhood Outreach Access To Health — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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