Individual provider Active NPI

Ramon Pascua, MD

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1629027248
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24918 Issued in AZ
Practice address
18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253
Phone
(602) 564-0078
Fax
(602) 564-1154
NPI assigned
May 9, 2006
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24918 AZ Primary

Addresses

Primary practice location

18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253

Mailing address

18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253
Phone (602) 564-0078

Other practice location 1

17100 N 67th Ave
Building 5, Suite 502
Glendale, AZ 85308-3605
Phone (623) 466-6339

Other identifiers 1

IdentifierTypeStateIssuer
374067MedicaidAZ

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001140 AZ Practitioner - Family Practice 9931169299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

17100 N 67 Ave BLDG
5 Suite 502
Glendale, AZ 85308-3699
Phone (623) 466-6339

17100 N 67 Ave BLDG 5
Suite 502
Glendale, AZ 85308-3699

17100 N 67TH Ave
Suite 502
Glendale, AZ 85308-3699

18275 N 59TH Ave
Suite 138
Glendale, AZ 85308-1253
Phone (602) 564-0078

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Downtown Medical Group, P.C. Internal Medicine Past Accepting new patients
Care Partners Health Services Inc PastSince Apr 30, 2003 Accepting new patients

Locations

17100 N 67th Ave
Ste 502
Glendale, AZ 85308
Phone (623) 466-6339

18275 N 59th Ave
Ste 138
Glendale, AZ 85308
Phone (602) 564-0078

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1629027248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17100 N 67th Ave",
            "address_2": "Building 5, Suite 502",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853083605",
            "country_code": "US",
            "telephone_number": "623-466-6339",
            "fax_number": "623-466-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCUA",
        "first_name": "RAMON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "24918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374067",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.