Individual provider Active NPI

Santhosh Kumar Ramini, PA

  • Medical Physician Assistant
  • Mesa, AZ
National Provider Identifier
1164116174
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9720 Issued in AZ
Practice address
1455 S Stapley Dr Ste 1
Mesa, AZ 85204-5850
Phone
(480) 633-1111
Fax
(480) 633-6611
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9720 AZ Primary

Addresses

Primary practice location

1455 S Stapley Dr Ste 1
Mesa, AZ 85204-5850

Mailing address

1455 S Stapley Dr Ste 1
Mesa, AZ 85204-5850
Phone (480) 633-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9720AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allkids Urgent Care, LLC PastSince Jun 11, 2023 Accepting new patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC PastSince Oct 27, 2024 Accepting new patients
Allkids Urgent Care, LLC PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1164116174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S STAPLEY DR STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045850",
            "telephone_number": "480-633-1111",
            "fax_number": "480-633-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S STAPLEY DR STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045850",
            "telephone_number": "480-633-1111",
            "fax_number": "480-633-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMINI",
        "first_name": "SANTHOSH",
        "middle_name": "KUMAR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.