Individual provider Active NPI

Celena Ruiz, PA

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1508312661
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9896 Issued in AZ
Practice address
2851 S Avenue B Ste 2601
Yuma, AZ 85364-7748
Phone
(928) 366-1062
Fax
(928) 366-1063
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9896 AZ Primary
Physician Assistant 363A00000X AMD-763 HI

Addresses

Primary practice location

2851 S Avenue B Ste 2601
Yuma, AZ 85364-7748

Mailing address

2851 S Avenue B Ste 2601
Yuma, AZ 85364-7748
Phone (928) 366-1062

Other names 1

  • Celena Pollock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171215000167 HI Practitioner - Physician Assistant 4688932940 Reassigns benefits to 1 organization
I20240131001323 AZ Practitioner - Physician Assistant 4688932940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Healthcare LLCGroup PAC ID 2668822495, 4 clinicians

Practice addresses (Care Compare)

2851 S Ave B
Suite 2601
Yuma, AZ 85364-7748
Phone (928) 366-1062

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ghebru Woldemichael MD LLC CurrentSince Jan 21, 2024 Accepting new patients
Waikiki Health CurrentSince Nov 1, 2018 Accepting new patients
Waikiki Health Past Accepting new patients

Locations

2851 S Avenue B
Ste 2601
Yuma, AZ 85364
Phone (928) 317-9562

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 791-9355

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5714/brand/1/csg/1/fhir/r4
  • Direct secure messaging: celena.ruiz.1@29923.direct.athenahealth.com

Organizations & group practices 4

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1508312661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 2601",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647748",
            "telephone_number": "928-366-1062",
            "fax_number": "928-366-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 2601",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647748",
            "telephone_number": "928-366-1062",
            "fax_number": "928-366-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CELENA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9896",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELENA",
            "last_name": "POLLOCK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.