Individual provider Active NPI

Saul Ramirez

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1043881691
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024457 Issued in CA
Practice address
1800 Western Ave Ste 401
San Bernardino, CA 92411-1355
Phone
(909) 880-3677
NPI assigned
Jul 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024457 CA Primary

Addresses

Primary practice location

1800 Western Ave Ste 401
San Bernardino, CA 92411-1355

Mailing address

1800 Western Ave Ste 401
San Bernardino, CA 92411-1355
Phone (909) 880-3677

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605002168 CA Practitioner - Nurse Practitioner 5294277265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024457CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Franco MD, Inc CurrentSince Apr 14, 2024 Accepting new patients

Locations

1800 Western Ave
Ste 401
Sn Bernrdno, CA 92411
Phone (909) 528-3641

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJHABA/Endpoint/CJHABA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1043881691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 401",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111355",
            "telephone_number": "909-880-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 401",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111355",
            "telephone_number": "909-880-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "SAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.