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

Leiana Lutz Jagolino, PA

Individual provider Physician Assistant · NPI 1538459599

Leiana Lutz Jagolino, PA is a Physician Assistant in Scottsdale, Arizona. Qualified in 2010, 16 years ago. Practices with Sonoran Radiology Ltd, a 465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Oregon.

Years since qualifying
16
Licensed in
GA, OR
In the registry since
2011
Specialties on file
2
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

9700 N 91st St Ste C200
Scottsdale, AZ 85258-5064
Phone: (480) 425-5078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2925 Ryan Dr Se, Salem, OR 97301-9687 — (503) 399-1262
  • 19250 Sw 90th Ave, Tualatin, OR 97062-7585 — (503) 692-3750

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA167677 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 006077 (GA)

Record details

NPI number1538459599
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESFebruary 23, 2025
Certification dateFebruary 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Sonoran Radiology Ltd — 465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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