Active NPI
Jessica Ramirez
- Adult Health Nurse Practitioner
- Huntington Park, CA
National Provider Identifier
1174099071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95010220
- Practice address
- 1900 E Slauson Ave Ste B
Huntington Park, CA 90255-2725 - Phone
- (767) 832-3277
- NPI assigned
- Oct 17, 2018
- Last updated
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95010220 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 95010220 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 95010220 | CA | Primary |
Addresses
Primary practice location
1900 E Slauson Ave Ste B
Huntington Park, CA 90255-2725
Mailing address
2040 Camfield Ave
Commerce, CA 90040-1574
Phone (323) 889-7830
Other practice location 1
3820 Martin Luther King Jr Blvd
Lynwood, CA 90262-3625
Phone (310) 632-0415
Other practice location 2
12130 Paramount Blvd
Downey, CA 90242-2339
Phone (562) 923-9414
Other practice location 3
1776 E Century Blvd
Los Angeles, CA 90002-3050
Phone (323) 374-6848
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210310001648 | CA | Order and Referring Only - Nurse Practitioner | 8820404254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010220 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1174099071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 CAMFIELD AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900401574",
"telephone_number": "323-889-7830",
"fax_number": "323-201-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E SLAUSON AVE STE B",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552725",
"telephone_number": "767-832-3277"
}
],
"practiceLocations": [
{
"address_1": "3820 Martin Luther King Jr Blvd",
"address_purpose": "LOCATION",
"city": "Lynwood",
"state": "CA",
"postal_code": "902623625",
"country_code": "US",
"telephone_number": "310-632-0415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12130 Paramount Blvd",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422339",
"country_code": "US",
"telephone_number": "562-923-9414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1776 E Century Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900023050",
"country_code": "US",
"telephone_number": "323-374-6848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95010220",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95010220",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95010220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.