Individual provider Active NPI

Percy David Ramos, MD

  • Family Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1255368809
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A61324 Issued in CA
Practice address
742 W Highland Ave
San Bernardino, CA 92405-3839
Phone
(909) 881-7320
Fax
(909) 881-7330
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A61324 CA Primary

Addresses

Primary practice location

742 W Highland Ave
San Bernardino, CA 92405-3839

Mailing address

4070 E Olympic Blvd
Los Angeles, CA 90023-3332
Phone (323) 268-8545

Other identifiers 1

IdentifierTypeStateIssuer
00A613240MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031201000263 CA Practitioner - General Practice 6507761806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Marcos Medical Group IncGroup PAC ID 0749222495, 8 clinicians

Practice addresses (Care Compare)

742 W Highland Ave
San Bernardino, CA 92405-4273
Phone (909) 881-7320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61324CAMDPediatric Dentist
A61324CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Marcos Medical Group Inc CurrentSince Mar 21, 2016 Accepting new patients
Rolandheights Care Medical Center Past Accepting new patients
Cedars Towers Surgical Medical Group Past Accepting new patients
Grupo Medico Familiar Santa Fe Inc PastSince Jan 1, 2007 Accepting new patients
San Marcos Medical Group Inc. Family Medicine Past Accepting new patients
San Marcos Medical Group Inc. Family Medicine Past Accepting new patients
Santa Ana Clinica Medica General Medical Center Inc. PastSince Apr 28, 2003 Accepting new patients
San Marcos Medical Group Inc. Family Medicine Past Accepting new patients
San Marcos Medical Group Inc. Family Medicine Past Accepting new patients
East Los Angeles Clinica Medica General Medical Center Inc Past Accepting new patients
Chan Family Medical Corp PastSince Jul 28, 2019 Accepting new patients

Locations

7965 Sierra Ave
Ste E
Fontana, CA 92336
Phone (909) 356-4459

14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160

1574 W Base Line St
Ste 107
Sn Bernrdno, CA 92411
Phone (909) 386-1880

742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320

7576 Sterling Ave
Ste C
Sn Bernrdno, CA 92410
Phone (909) 381-8933

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: percy.ramos.p1@direct.metro.nextgenshare.com

Organizations & group practices 11

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1255368809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 E OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233332",
            "telephone_number": "323-268-8545",
            "fax_number": "323-268-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 W HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053839",
            "telephone_number": "909-881-7320",
            "fax_number": "909-881-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "PERCY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A613240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.