Individual provider Active NPI

Ramon Ugarte Jr., PA-C

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1598813743
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1056 Issued in AZ
Practice address
5060 N 19TH Ave Ste 207
Phoenix, AZ 85015-3212
Phone
(480) 788-5621
Fax
(480) 779-1277
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1056 AZ Primary

Addresses

Primary practice location

5060 N 19TH Ave Ste 207
Phoenix, AZ 85015-3212

Mailing address

5060 N 19TH Ave Ste 207
Phoenix, AZ 85015-3212
Phone (480) 788-5621

Other practice location 1

2737 W Baseline Rd Ste 27
Tempe, AZ 85283-1051
Phone (480) 788-5621

Other practice location 2

3811 E Bell Rd
Suite 208
Phoenix, AZ 85032-2138
Phone (602) 482-7676

Other practice location 3

1455 W Chandler Blvd Ste B11
Chandler, AZ 85224-6128
Phone (480) 788-5621

Other practice location 4

5060 N 19th Ave Ste 106
Phoenix, AZ 85015-3211
Phone (480) 788-5621

Other practice location 5

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Phone (480) 788-5621

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1056AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Minimally Invasive Surgical CurrentSince Aug 6, 2019 Accepting new patients

Locations

1455 W Chandler Blvd
Ste B11
Chandler, AZ 85224
Phone (480) 917-9208

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

5060 N 19th Ave
Ste 106
Phoenix, AZ 85015

2737 W Baseline Rd
Ste 27
Tempe, AZ 85283

Organizations & group practices 1

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": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1598813743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2737 W Baseline Rd Ste 27",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831051",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3811 E Bell Rd",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322138",
            "country_code": "US",
            "telephone_number": "602-482-7676",
            "fax_number": "602-482-6152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 W Chandler Blvd Ste B11",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246128",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5060 N 19th Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850153211",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 E Earll Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122677",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGARTE",
        "first_name": "RAMON",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.