Active NPI
Gabriel Ramirez, PA-C
- Medical Physician Assistant
- Grass Valley, CA
National Provider Identifier
1114252822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA20568
- Practice address
- 180 Sierra College Dr
Grass Valley, CA 95945-5768 - Phone
- (530) 273-9541
- Fax
- (530) 271-7036
- NPI assigned
- Oct 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA20568 | CA | Primary |
Addresses
Primary practice location
180 Sierra College Dr
Grass Valley, CA 95945-5768
Mailing address
10495 W Piper LN
Nevada City, CA 95959-8709
Phone (805) 824-6766
Other names 1
- Mr. Gabriel Ramirez
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Granite Wellness Centers | Past | Accepting new patients |
Locations
5 Medical Plaza Dr
Ste 170
Roseville, CA 95661
Phone (916) 469-4690
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
Interoperability endpoints
- gramirez769588@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Health Service Clinic/Center
- Sacramento, CA
- NPI 1740587914
-
- Community/Behavioral Health Agency
- Grass Valley, CA
- NPI 1750500237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1114252822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10495 W PIPER LN",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959598709",
"telephone_number": "805-824-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 SIERRA COLLEGE DR",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455768",
"telephone_number": "530-273-9541",
"fax_number": "530-271-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "GABRIEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-14",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA20568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIEL",
"last_name": "RAMIREZ",
"prefix": "MR.",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.