Active NPI
Ronald A Damiano, PA
- Physician Assistant
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2951
- Practice address
- 1230 W 24TH St Ste 1
Yuma, AZ 85364 - Phone
- (928) 314-3702
- Fax
- (928) 314-4687
- NPI assigned
- Oct 17, 2006
- Last updated
- May 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2951 | AZ | Primary |
Addresses
Primary practice location
1230 W 24TH St Ste 1
Yuma, AZ 85364
Mailing address
1230 W 24TH St Ste 1
Yuma, AZ 85364-6232
Phone (928) 314-3702
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61507 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Dermatology Associates, Inc. | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| SCS Radiology | Past | Accepting new patients |
Locations
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
7912 West Ln
Ste 221
Stockton, CA 95210
Phone (209) 546-3870
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704
370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592
Interoperability endpoints
- rdamiano768099@direct.ochin.org
- ronald.damiano.p1@direct.cmcentersinc.nextgenshare.com
Organizations & group practices 6
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.
-
dba Esparto Family Practice
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Dermatology Physician
- Walnut Creek, CA
- NPI 1700860871
-
dba Community Medical Centers, Channel II
- Federally Qualified Health Center (FQHC)
- Stockton, CA
- NPI 1235745928
-
dba Community Medical Centers, Lodi East
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Ambulatory Surgical Clinic/Center
- Fresno, CA
- NPI 1235738576
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1417198417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1396826541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 W 24TH ST STE 1",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646232",
"telephone_number": "928-314-3702",
"fax_number": "928-314-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 W 24TH ST STE 1",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-314-3702",
"fax_number": "928-314-4687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMIANO",
"first_name": "RONALD",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.