Individual provider Active NPI

Ariel Ramirez Abbott, PA-C

  • Physician Assistant
  • Stockton, CA
National Provider Identifier
1780334342
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64642 Issued in CA
Practice address
4555 Precissi LN
Stockton, CA 95207-5743
Phone
(209) 477-4103
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64642 CA Primary

Addresses

Primary practice location

4555 Precissi LN
Stockton, CA 95207-5743

Mailing address

1691 The Alameda
San Jose, CA 95126-2203

Other practice location 1

2185 Pacheco St
Concord, CA 94520-2309
Phone (925) 676-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240920002249 CA Practitioner - Physician Assistant 7911448667 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64642CAMDMental Health Counselor
PA64642CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Aug 12, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Aug 12, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc Past Accepting new patients

Locations

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103

Interoperability endpoints

  • Direct secure messaging: ariel.ramirezpa.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 5

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": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1780334342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 PRECISSI LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075743",
            "telephone_number": "209-477-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2185 Pacheco St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945202309",
            "country_code": "US",
            "telephone_number": "925-676-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "ARIEL",
        "middle_name": "RAMIREZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.