Sarah C Determan, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1458 Issued in AZ

Practice address

1965 W 24TH St Ste a
Yuma, AZ 85364-6255

Phone

(928) 344-5774

Fax

(928) 344-5779

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Medicare reassignment
• Ismael Guerrero MD PLLC

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1407929920
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1407917339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647170",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 W 24TH ST STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646255",
            "telephone_number": "928-344-5774",
            "fax_number": "928-344-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11142 S Scottsdale Dr",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853675616",
            "country_code": "US",
            "telephone_number": "928-336-1815",
            "fax_number": "928-342-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S 8th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647158",
            "country_code": "US",
            "telephone_number": "928-336-7095",
            "fax_number": "928-336-7256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETERMAN",
        "first_name": "SARAH",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1458",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483751",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desert Sky Family Clinic of Yuma
• Desert Spine Center a Professional Corporation
• Desert Spine Institute PLLC
• Desert Zen Healthcare
• Destiny Rose Hospice
• Thomas Francis Determan
• Jessica Bond Detrick
• Douglas Wayne Devries, D.C.
• Kiran Dhillon
• Simi K. Dhillon, M.D.

• Physician Assistant in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.

Verify at the official NPI Registry.