Active NPI
Jose Ruben Ramirez Sr., D.D.S.
- General Practice Dentistry
- Ontario, CA
National Provider Identifier
1003126343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55651
- Practice address
- 524 N Palm Ave
Ontario, CA 91762-3218 - Phone
- (909) 467-2039
- Fax
- (909) 467-2052
- NPI assigned
- Oct 20, 2010
- Last updated
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55651 | CA | Primary |
Addresses
Primary practice location
524 N Palm Ave
Ontario, CA 91762-3218
Mailing address
524 N Palm Ave
Ontario, CA 91762-3218
Phone (909) 467-2039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261279944 | Other | CA | DENTAL |
Other names 1
- Dr. Jose Ruben Ramirez
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rublanca@hotmail.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | rublanca@hotmail.com | Other | |
| Direct Messaging Address | rublanca@hotmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150511001205 | CA | Order and Referring Only - Oral Surgery | 7719206994 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55651 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Patricia Parroquin Professional Dental Corporation | General Practice | Past | Accepting new patients |
| Arzu Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Preferred Provider Organization
- Ontario, CA
- NPI 1699954594
-
- General Practice Dentistry
- Baldwin Park, CA
- NPI 1932809092
-
- General Practice Dentistry
- Baldwin Park, CA
- NPI 1417220732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1003126343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 N PALM AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623218",
"telephone_number": "909-467-2039",
"fax_number": "909-467-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 N PALM AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623218",
"telephone_number": "909-467-2039",
"fax_number": "909-467-2052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "JOSE",
"middle_name": "RUBEN",
"name_suffix": "Sr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL",
"identifier": "261279944",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rublanca@hotmail.com",
"affiliation": "N",
"endpointDescription": "office e-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "524 N Palm Ave",
"city": "Ontario",
"state": "CA",
"country_code": "US",
"postal_code": "917623218",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rublanca@hotmail.com",
"affiliation": "N",
"endpointDescription": "office e-mail",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "office",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office",
"address_1": "524 N Palm Ave",
"city": "Ontario",
"state": "CA",
"country_code": "US",
"postal_code": "917623218",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rublanca@hotmail.com",
"affiliation": "N",
"endpointDescription": "office e-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "524 N Palm Ave",
"city": "Ontario",
"state": "CA",
"country_code": "US",
"postal_code": "917623218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOSE",
"last_name": "RAMIREZ",
"middle_name": "RUBEN",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.