Individual provider Active NPI

Rowena Lopez Ramirez, M.D.

  • Surgery Physician
  • Stockton, CA
National Provider Identifier
1063692887
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A91578 Issued in CA
Practice address
2324 Lever Blvd
Stockton, CA 95206-2900
Phone
(209) 464-4743
Fax
(209) 464-4755
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A91578 CA Primary

Addresses

Primary practice location

2324 Lever Blvd
Stockton, CA 95206-2900

Mailing address

2324 Lever Blvd
Stockton, CA 95206-2900
Phone (209) 464-4743

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A91578CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tru-Health, Inc. CurrentSince Jun 23, 2024 Accepting new patients

Locations

2324 Lever Blvd
Stockton, CA 95206
Phone (209) 464-4743

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1063692887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 LEVER BLVD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062900",
            "telephone_number": "209-464-4743",
            "fax_number": "209-464-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 LEVER BLVD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062900",
            "telephone_number": "209-464-4743",
            "fax_number": "209-464-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ROWENA",
        "middle_name": "LOPEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A91578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.