Active NPI
Rafael I Ramos, PA-C
- Physician Assistant
- Escondido, CA
National Provider Identifier
1164775003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22660
- Practice address
- 215 S Hickory St Ste 114
Escondido, CA 92025-4360 - Phone
- (760) 454-7844
- NPI assigned
- Oct 16, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22660 | CA | Primary |
Addresses
Primary practice location
215 S Hickory St Ste 114
Escondido, CA 92025-4360
Mailing address
1215 Mitchell St Apt 5
Oceanside, CA 92054-5201
Phone (818) 450-4883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22660 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1164775003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 MITCHELL ST APT 5",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545201",
"telephone_number": "818-450-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S HICKORY ST STE 114",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254360",
"telephone_number": "760-454-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "RAFAEL",
"middle_name": "I",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-16",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.