Individual provider Active NPI

Israel Ramirez, LSA

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1215350236
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00641 Issued in TX
Practice address
16240 San Pedro Ave Lot 67
San Antonio, TX 78232-3002
Phone
(210) 315-8777
Fax
(210) 257-0700
NPI assigned
Jan 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X SA00641 TX Primary

Addresses

Primary practice location

16240 San Pedro Ave Lot 67
San Antonio, TX 78232-3002

Mailing address

16240 San Pedro Ave Lot 67
San Antonio, TX 78232-3002
Phone (210) 315-8777

Other identifiers 2

IdentifierTypeStateIssuer
12678962OtherTXCAQH
147107OtherNBSTSA BOARD CERTIFICATION

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

LicenseStateTypeSpecialty
SA00641TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Irc Surgical Assistants Surgical CurrentSince Apr 17, 2020 Accepting new patients
San Antonio Surgical Assistants, Inc. Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1215350236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16240 SAN PEDRO AVE LOT 67",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323002",
            "telephone_number": "210-315-8777",
            "fax_number": "210-257-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16240 SAN PEDRO AVE LOT 67",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323002",
            "telephone_number": "210-315-8777",
            "fax_number": "210-257-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ISRAEL",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12678962",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBSTSA BOARD CERTIFICATION",
            "identifier": "147107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.