SALVADOR KAMANU RUIZ III PA-C
NPI 1356173439
Physician Assistant in Mesa, AZ

Q: What is Salvador Ruiz's NPI number?

The NPI number for Salvador Ruiz is 1356173439. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Q: What is Salvador Ruiz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Salvador Ruiz was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2024PECOS EnrolledAccepts Medicare Assignment

1500 S DOBSON RD STE 202, MESA, AZ 85202(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Aug 16, 2024 (2 updates tracked since 2024).

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About Salvador Kamanu Ruiz Iii Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALVADOR KAMANU RUIZ III PA-C (NPI 1356173439) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (10654) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356173439

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSALVADOR KAMANU RUIZ IIICredential: PA-C

Location Address1500 S DOBSON RD STE 202Mesa, AZ 85202-4724

Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (866) 974-2673 · Fax (866) 939-2673

Phone(866) 974-2673

Fax(866) 939-2673

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 16, 2024

Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1356173439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 10654

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1500 S DOBSON RD STE 202, Mesa, AZ 85202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Salvador Kamanu Ruiz Iii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931637162

PECOS Enrollment IDI20250115001842

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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