Active NPI
Bertha Alicia Ramos
- Clinical Social Worker
- San Pedro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW60542
- Practice address
- 624 W 9TH St Ste 103
San Pedro, CA 90731-3158 - Phone
- (310) 938-4575
- NPI assigned
- Mar 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW60542 | CA | Primary |
Addresses
Primary practice location
624 W 9TH St Ste 103
San Pedro, CA 90731-3158
Mailing address
811 W 232ND St Unit C
Torrance, CA 90502-2534
Phone (626) 484-8909
Other practice location 1
100 Falls Canyon Rd
Avalon, CA 90704-2990
Phone (310) 510-0700
Other practice location 2
1360 N Main St
Bishop, CA 93514-3013
Phone (760) 872-2590
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
624 W 9TH St
Suite 103
San Pedro, CA 90731-3158
Phone (310) 938-4575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW60542 | CA | MD | Clinical Social Worker |
| 60542 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avalon Medical Development Corporation | Current | Accepting new patients | |
| First Step Family Counseling, Inc. | Current | Accepting new patients |
Locations
100 Falls Canyon Rd
Avalon, CA 90704
Phone (310) 510-0700
624 W 9th St
Ste 103
San Pedro, CA 90731
Phone (310) 518-4279
Interoperability endpoints
- bertha.ramos.1@14021.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- San Pedro, CA
- NPI 1649610601
-
- Critical Access Hospital
- Avalon, CA
- NPI 1346250347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1215052832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 W 232ND ST UNIT C",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022534",
"telephone_number": "626-484-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W 9TH ST STE 103",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313158",
"telephone_number": "310-938-4575"
}
],
"practiceLocations": [
{
"address_1": "100 Falls Canyon Rd",
"address_purpose": "LOCATION",
"city": "Avalon",
"state": "CA",
"postal_code": "907042990",
"country_code": "US",
"telephone_number": "310-510-0700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1360 N Main St",
"address_purpose": "LOCATION",
"city": "Bishop",
"state": "CA",
"postal_code": "935143013",
"country_code": "US",
"telephone_number": "760-872-2590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMOS",
"first_name": "BERTHA",
"middle_name": "ALICIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW60542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.