Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Salvador Kamanu Ruiz III, PA-C

Individual provider Physician Assistant · NPI 1356173439

Salvador Kamanu Ruiz III, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2024, 2 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724
Phone: (866) 974-2673
Fax: (866) 939-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10654 (AZ)

Record details

NPI number1356173439
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2024
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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