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

Marina Elena Chavez

Individual provider Medical Physician Assistant · NPI 1801558267

Marina Elena Chavez is a Physician Assistant in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Cleanslate Medical Group of Arizona PLLC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

8410 W Thomas Rd Ste 124
Phoenix, AZ 85037-3373
Phone: (480) 417-5289
Fax: (602) 812-7491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5850 E Still Cir, Mesa, AZ 85206-3618 — (866) 626-2878

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9631 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1801558267
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cleanslate Medical Group Of Arizona Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Phoenix