Gajendran Ramen, M.S HUMAN NUTRITION

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1055199 Issued in CA

Practice address

35 Leisure Park Cir
Santa Rosa, CA 95401-5882

Phone

(707) 889-0918

NPI assigned

Apr 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1083857361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LEISURE PARK CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015882",
            "telephone_number": "707-889-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LEISURE PARK CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015882",
            "telephone_number": "707-889-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMEN",
        "first_name": "GAJENDRAN",
        "credential": "M.S HUMAN NUTRITION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "1055199",
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bahareh Rahmattan
• Ralph E Dilisio MD FCCP Inc.
• Ralph P. Hoyal, DPM
• Alyssa Ramage
• Avinash Nari Ramchandani, MD
• Jake Rames, DMD
• Dawn Michelle Ramey, MA
• Edward Ramirez Loza
• Georgina Ramirez-Azcarraga, M.D.
• Amber Ramirez

• Nutritionist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.