Active NPI
Myrna S Ramirez, PA-C
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1255611638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21673
- Practice address
- 1200 North State St
Los Angeles, CA 90033 - Phone
- (323) 226-4600
- NPI assigned
- Aug 17, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21673 | CA | Primary |
Addresses
Primary practice location
1200 North State St
Los Angeles, CA 90033
Mailing address
321 Duane Ave
San Gabriel, CA 91775-2814
Phone (323) 595-1418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA21673 | Other | CA | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1255611638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 DUANE AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917752814",
"telephone_number": "323-595-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NORTH STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-226-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "MYRNA",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA21673",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.