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

Mr. Clinton Richard Martin, PA

Individual provider Physician Assistant · NPI 1013228394

Mr. Clinton Richard Martin, PA is a Physician Assistant in Lake Havasu City, Arizona. Qualified in 2009, 17 years ago. Practices with W Milyani MD PLLC, a 6-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, Nevada and Texas.

Years since qualifying
17
Licensed in
AZ, NV, TX
In the registry since
2010
Specialties on file
4
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

1951 Mesquite Ave Ste F
Lake Havasu City, AZ 86403-5746
Phone: (928) 963-9333
Fax: (928) 361-2611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1520 E Hammer Ln Ste 102, Fort Mohave, AZ 86426-6665 — (928) 963-9191
  • 1200 W Mohave Rd, Parker, AZ 85344-6349 — (928) 963-9333
  • 150 Tyson St, Quartzsite, AZ 85346 — (928) 963-9333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5486 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA1351 (NV)
Physician Assistant Taxonomy 363A00000X · Licence PA12064 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA0270 (NV)

Record details

NPI number1013228394
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESOctober 23, 2024
Certification dateOctober 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice W Milyani Md Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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