MEDICARE: THE CARE CONCIERGE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1568298560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CARE CONCIERGE, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 8121
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85066-8121
Country	:	US
Telephone Number	:	480-576-8202
Fax Number	:	480-801-2323

Provider Business Practice Location Address
First Line	:	7659 E PINNACLE PEAK RD STE 110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-6298
Country	:	US
Telephone Number	:	480-576-8202
Fax Number	:	480-801-2323

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LYLE MIYASHIRO
Credential	:	PA-C
Telephone Number	:	480-567-8202

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	07/01/2026

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Directions to “THE CARE CONCIERGE, PLLC ” Practice Location

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