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

Individual provider Physician Assistant · NPI 1124739131

Maximilian Nathaniel Vuong, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2022
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

240 W Thomas Rd # 401
Phoenix, AZ 85013-4407
Phone: (602) 406-6262
Fax: (602) 406-6261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 435 N 5th St, Phoenix, AZ 85004-2157 — (415) 606-2554
  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 — (480) 301-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9853 (AZ)

Record details

NPI number1124739131
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2022
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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