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

Individual provider Physician Assistant · NPI 1619407616

Kristin Rassam, PA-C is a Physician Assistant in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
Specialties on file
2
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

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 — (866) 974-2673

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6777 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 6777 (AZ)

Record details

NPI number1619407616
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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