Active NPI
Ramon Ugarte Jr., PA-C
- Surgical Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1056
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1056 | AZ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Minimally Invasive Surgical | Current | 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.
-
- Surgery Physician
- Phoenix, AZ
- NPI 1295056919
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.