Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jackson Taravine

Medical Physician Assistant in Surprise, AZ · enumerated 2023 · practices at Afc of Surprise, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811770910

Verified

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Registry record

Entity type Individual (Type 1)

Name Jackson Taravine

Sex Male

Practice address Surprise, AZ, 85374

Phone (623) 248-4283

Enumeration date Aug 14, 2023

Last updated in NPPES May 21, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 70349500001 (AZ) Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 7047150001 (AZ) Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 7209350001 (AZ) Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 7939960001 (AZ) Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 704516001 (AZ) Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 7046960001 (AZ) Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 8220410001 (AZ) Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 7629170001 (AZ) Secondary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 7057360001 (AZ) Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10227 (AZ) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jackson Taravine's NPI record?

Cross-check NPI 1811770910 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1811770910 active?

Yes, as of the latest NPPES snapshot, NPI 1811770910 is active (record last updated 2024-05-21).

Other providers at this practice address

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Zachary Bartlett Medical Physician Assistant · Surprise, AZ NPI 1457435703 Stefan Iacob Medical Physician Assistant · Surprise, AZ NPI 1851437503 Teresa Slager Medical Physician Assistant · Surprise, AZ NPI 1508015009 Sofia Filzer Medical Physician Assistant · Surprise, AZ NPI 1558683482 Sogol Elam Physician Assistant · Surprise, AZ NPI 1437452430 Jessica Turner Lopez Chiropractor · Surprise, AZ NPI 1003228933 Amanda Gregory Medical Physician Assistant · Surprise, AZ NPI 1346892056 Afc of Surprise, Pllc Physical Medicine & Rehabilitation Physician · Surprise, AZ NPI 1255912721

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-21.