Active NPI
San Diego Hospital Based Physician
- Internal Medicine Physician
- El Centro, CA
National Provider Identifier
1003059700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A60709
- Legal business name
- SAN DIEGO HOSPITAL BASED PHYSICIAN
- Practice address
- 1415 Ross Ave
El Centro, CA 92243-4306 - Phone
- (760) 339-7100
- Fax
- (760) 339-7389
- NPI assigned
- Apr 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria E Ramirez, MD
- Title
- Co-Owner
- Phone
- (858) 495-0971
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A60709 | CA | Primary |
Addresses
Primary practice location
1415 Ross Ave
El Centro, CA 92243-4306
Mailing address
11438 Stockwood CV
San Diego, CA 92131-4254
Phone (858) 495-0971
Other names 1
- El Centro Hospital Based Physician
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239235200000",
"number": "1003059700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11438 STOCKWOOD CV",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921314254",
"telephone_number": "858-495-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 ROSS AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434306",
"telephone_number": "760-339-7100",
"fax_number": "760-339-7389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO HOSPITAL BASED PHYSICIAN",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "858-495-0971",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A60709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "El Centro Hospital Based Physician",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.