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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAN RABAN

Active Sole Proprietor

SAN RABAN is a Physician Assistant healthcare provider located in GILBERT, Arizona. NPI 1104693191 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GILBERT, AZ

Registration Details

NPI Number
1104693191
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2023 (2.7036119325671 yrs)
Last Updated
Jun 25, 2025
Sole Proprietor
Yes

Practice Information

Address
2946 E BANNER GATEWAY DR
GILBERT, AZ, 852342165
Browse AZ providers · Browse ZIP 85234
Phone
4802566444
Fax
4802564734
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GILBERT, AZ

Name Credential NPI
BETH ERICKSON FOLEY P.A.-C 1417957556
PATRICIA M LUCENTE PA-C 1962488452
MRS. JULIE ALLEN KENNEDY PAC 1437120144
JAMES GODFREY MORPHIS III PA 1306818794
KATIE M FOX THOMPSON PAC 1871562835
MS. NICOLE C FALLACARO PA 1174582290
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.