Individual provider Active NPI

Ramon Medina, P.A.

  • Physician Assistant
  • Palmdale, CA
National Provider Identifier
1114085966
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 18381 Issued in CA
Practice address
38440 5TH St W
Palmdale, CA 93551-4498
Phone
(661) 214-7718
Fax
(661) 214-7719
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 18381 CA Primary

Addresses

Primary practice location

38440 5TH St W
Palmdale, CA 93551-4498

Mailing address

38440 5TH St W
Palmdale, CA 93551-4498
Phone (661) 575-2725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818002790 CA Practitioner - Physician Assistant 2466882949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accel Medical Group IncGroup PAC ID 1456850221, 2 clinicians

Practice addresses (Care Compare)

38440 5TH St W
Suite a
Palmdale, CA 93551-4499
Phone (661) 214-7718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 18381CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Accel Medical Group Inc CurrentSince Apr 15, 2025 Accepting new patients

Locations

38440 5th St W
Palmdale, CA 93551
Phone (661) 214-7718

38440 5th St W
Ste A
Palmdale, CA 93551
Phone (661) 214-7718

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCHHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCHHDD/Endpoint/DCHHDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1114085966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38440 5TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514498",
            "telephone_number": "661-575-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38440 5TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514498",
            "telephone_number": "661-214-7718",
            "fax_number": "661-214-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "RAMON",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 18381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.