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

Natasha Ghofrani

Individual provider Physician Assistant · NPI 1639910706

Natasha Ghofrani is a Physician Assistant in Mesa, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2024

Practice location Address checks out

5850 E Still Cir
Mesa, AZ 85206-3618
Phone: (949) 547-5899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67674 (CA)

Record details

NPI number1639910706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2024
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address5850 E Still Cir, Mesa, AZ 85206-3618

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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