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

Ysis Martja Campechano Grullon

Individual provider Physician Assistant · NPI 1144979881

Ysis Martja Campechano Grullon is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

1514 W Thomas Rd
Phoenix, AZ 85015-6101
Phone: (602) 283-5732
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8580 (AZ)

Record details

NPI number1144979881
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

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