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

Sandra E Aguayo, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144900044

Sandra E Aguayo, PA is a Physician Assistant in Bullhead City, Arizona. Qualified in 2024, 2 years ago. Practices with Revere Health PC, a 410-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
2
Licensed in
AZ, UT
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3015 Highway 95 Ste 105
Bullhead City, AZ 86442-4334
Phone: (928) 763-2001
Fax: (928) 763-2038
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442-8492 — (928) 704-4499
  • 3714 E Campus Dr Ste 106, Eagle Mountain, UT 84005-5453 — (385) 203-1250
  • 1055 N 500 W, Provo, UT 84604-3305 — (801) 812-5033
  • 264 W 100 S, Santaquin, UT 84655-8012 — (385) 203-1250

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11687 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X · Licence 14041377-1206 (UT)

Record details

NPI number1144900044
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address3015 Highway 95 Ste 105, Bullhead City, AZ 86442-4334

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 Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bullhead City