Individual provider Active NPI

Kimberly Siguenza-Ramos

  • Physician Assistant
  • Ontario, OR
National Provider Identifier
1851101497
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA230581 Issued in OR
Practice address
840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638
Phone
(541) 881-2800
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA230581 OR Primary
Physician Assistant 363A00000X 1781806 ID

Addresses

Primary practice location

840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638

Mailing address

840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638
Phone (541) 881-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20260522002234 ID Practitioner - Physician Assistant 3274003991

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Family Health Care IncGroup PAC ID 0547169591, shared by 8 NPIs, 45 clinicians

Practice addresses (Care Compare)

2327 SW 4TH Ave
Unit 3
Ontario, OR 97914-1851
Phone (541) 889-2340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1781806IDMDPhysician Assistant
PA230581ORMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1851101497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SW 4TH AVE STE 105",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142638",
            "telephone_number": "541-881-2800",
            "fax_number": "541-881-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SW 4TH AVE STE 105",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142638",
            "telephone_number": "541-881-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGUENZA-RAMOS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA230581",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "1781806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.