Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Augusto Ramirez, PA

Individual provider Medical Physician Assistant · NPI 1134836091

Augusto Ramirez, PA is a Physician Assistant in Kingman, Arizona. Qualified in 1983, 43 years ago. Practices with San Luis Walk-In Clinic Inc, a 51-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
43
Licensed in
AZ
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2302 N Stockton Hill Rd Ste E-G
Kingman, AZ 86401-4100
Phone: (928) 352-2560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1940 Mesquite Ave, Lake Havasu City, AZ 86403-6123 — (928) 459-3512

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8869 (AZ)

Record details

NPI number1134836091
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing addressPo Box 617, Somerton, AZ 85350-0617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice San Luis Walk-In Clinic Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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