Active NPI
Ismael Leonardo Ramirez
- Licensed Psychiatric Technician
- Redlands, CA
National Provider Identifier
1144879370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 30174
- Practice address
- 1030 Nevada St
Redlands, CA 92374-2957 - Phone
- (877) 527-7227
- NPI assigned
- Sep 10, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 30174 | CA | Primary |
Addresses
Primary practice location
1030 Nevada St
Redlands, CA 92374-2957
Mailing address
25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (877) 527-7227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326172404 | Other | CA | MEDICAL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Exym | Direct | LA County DMH |
| Other URL | MyEvolve | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30174 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1144879370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25910 ACERO STE 160",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912777",
"telephone_number": "877-527-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 NEVADA ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742957",
"telephone_number": "877-527-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "ISMAEL",
"middle_name": "LEONARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-10",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "30174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "1326172404",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Exym",
"affiliation": "Y",
"endpointDescription": "Cloud based EHR software system",
"affiliationName": "LA County DMH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Mental Health",
"address_1": "4740 N Grand Ave",
"city": "Covina",
"state": "CA",
"country_code": "US",
"postal_code": "917242005",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MyEvolve",
"affiliation": "N",
"endpointDescription": "Cloud based EUHR",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1030 Nevada St",
"city": "Redlands",
"state": "CA",
"country_code": "US",
"postal_code": "923742957",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Redlands, CA
- Mohammed Radmard, MD
- Mina Girgis Ragheb, M.D.
- Rai Care Centers of Southern California I, LLC (Fresenius Kidney Care Redlands)
- Victoria Shaw Rains, M.D.
- Brenda Ramirez, HIS
- Mike Joseph Ramirez Sr., OWNER
- Natasha Mirella Ramirez, MSN, RN, FNP-BC
- Oscar Olis Ramirez II, M.D.
- Michael Ramos, RHDHAP
- Ralph Matthew Ramos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.