Healthcare Provider Details

I. General information

NPI: 1275491516
Provider Name (Legal Business Name): SAVANNA YOUNG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3336 E CHANDLER HEIGHTS RD STE 132
GILBERT AZ
85298-4264
US

IV. Provider business mailing address

3336 E CHANDLER HEIGHTS RD STE 132
GILBERT AZ
85298-4264
US

V. Phone/Fax

Practice location:
  • Phone: 480-988-4645
  • Fax: 480-988-4745
Mailing address:
  • Phone: 480-988-4645
  • Fax: 480-988-4745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11543
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: