Individual provider Active NPI

Randall Anthony Ramirez, LCSW MFT

  • Clinical Social Worker
  • Morgan Hill, CA
National Provider Identifier
1023120318
Registry record updated Nov 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS9206 Issued in CA
Practice address
16275 Monterey Rd
Suite C
Morgan Hill, CA 95037-5466
Phone
(408) 778-5120
Fax
(408) 778-9917
NPI assigned
Aug 31, 2006
Last updated
Nov 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS9206 CA Primary
Marriage & Family Therapist 106H00000X MFC17052 CA

Addresses

Primary practice location

16275 Monterey Rd
Suite C
Morgan Hill, CA 95037-5466

Mailing address

16275 Monterey Rd
Ste. C
Morgan Hill, CA 95037-5466
Phone (408) 778-5120

Other identifiers 1

IdentifierTypeStateIssuer
CGP#079075OtherCACA CHILDRENS SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS9206CAMDClinical Social Worker
MFC17052CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321056000000",
    "number": "1023120318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16275 MONTEREY RD",
            "address_2": "STE. C",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375466",
            "telephone_number": "408-778-5120",
            "fax_number": "408-778-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16275 MONTEREY RD",
            "address_2": "SUITE C",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375466",
            "telephone_number": "408-778-5120",
            "fax_number": "408-778-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "RANDALL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9206",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC17052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA CHILDRENS SERVICES",
            "identifier": "CGP#079075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.