Individual provider Active NPI

Neill Ramos, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1073776191
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A104711 Issued in CA
Practice address
1045 Atlantic Ave
Suite 708
Long Beach, CA 90813-3408
Phone
(562) 491-9045
Fax
(562) 491-9353
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A104711 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave
Suite 708
Long Beach, CA 90813-3408

Mailing address

1050 Linden Ave
Department of Medical Education
Long Beach, CA 90813-3321
Phone (562) 491-9350

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000141 CA Practitioner - Internal Medicine 2567514607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

1045 Atlantic Ave
Suite 708
Long Beach, CA 90813-3410
Phone (562) 491-9045

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A104711CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Jul 1, 2009 Accepting new patients
Dignity Health CurrentSince Jul 1, 2009 Accepting new patients

Locations

1045 Atlantic Ave
Ste 708
Long Beach, CA 90813
Phone (562) 437-0719

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

File 050236
Los Angeles, CA 90074

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1073776191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LINDEN AVE",
            "address_2": "DEPARTMENT OF MEDICAL EDUCATION",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133321",
            "telephone_number": "562-491-9350",
            "fax_number": "562-491-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 708",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-491-9045",
            "fax_number": "562-491-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "NEILL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.