NPIMap

Individual provider Active NPI

Eddie A Ramirez, M.D.

  • Otolaryngology Physician
  • Kingman, AZ
National Provider Identifier
1508938499
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G61452 Issued in CA
Practice address
3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone
(424) 259-6559
NPI assigned
Nov 15, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G61452 CA
Otolaryngology Physician 207Y00000X G61452 CA Primary

Addresses

Primary practice location

3636 N Stockton Hill Rd
Kingman, AZ 86409-0514

Mailing address

3636 N Stockton Hill Rd
Kingman, AZ 86409-0514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070607000110 AZ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7911005426 Reassigns benefits to 3 organizations
I20140807001523 CA Practitioner - Otolaryngology 7911005426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of California, Geffen School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aims Physicians and SurgeonsGroup PAC ID 6709770696, 7 clinicians

Practice addresses (Care Compare)

3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone (928) 757-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G61452CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Physician Practices LLC Current Accepting new patients
Aims Outpatient Surgery CurrentSince Jan 1, 2025 Accepting new patients
Aims Physicians and Surgeons Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Valley View Physician Practices LLC CurrentSince Apr 1, 2021 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
County of Los Angeles CurrentSince Oct 1, 2014 Accepting new patients
Pih Health Physicians CurrentSince Oct 1, 2020 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Valley View Physician Practices, LLC CurrentSince Apr 1, 2021 Accepting new patients
County of Los Angeles CurrentSince Oct 1, 2014 Accepting new patients
Kingman Healthcare, Inc Specialist Past Accepting new patients

Locations

5300 S Highway 95
Ste C
Fort Mohave, AZ 86426
Phone (928) 768-2330

3636 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-3636

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13192/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1508938499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "424-259-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "EDDIE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G61452",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G61452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.