Individual provider Active NPI

Kendra Rea Purdom Ramirez, NP

  • Women's Health Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1043364896
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
598693 Issued in CA
Practice address
11807 Whittier Blvd
Whittier, CA 90601-3941
Phone
(562) 463-7742
Fax
(562) 463-0746
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 15708 CA
Women's Health Nurse Practitioner 363LW0102X 598693 CA Primary

Addresses

Primary practice location

11807 Whittier Blvd
Whittier, CA 90601-3941

Mailing address

5081 Jade Ter
Chino Hills, CA 91709-4908
Phone (562) 310-9596

Other practice location 1

5081 Jade Ter
Chino Hills, CA 91709-4908
Phone (562) 310-9596

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15708CAMDWomen's Health Nurse Practitioner
598693CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1043364896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5081 JADE TER",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094908",
            "telephone_number": "562-310-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11807 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013941",
            "telephone_number": "562-463-7742",
            "fax_number": "562-463-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5081 Jade Ter",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917094908",
            "country_code": "US",
            "telephone_number": "562-310-9596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURDOM RAMIREZ",
        "first_name": "KENDRA",
        "middle_name": "REA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "15708",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "598693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.