Individual provider Active NPI

Gladys Belen Ramirez, FNP

  • Family Nurse Practitioner
  • Upland, CA
National Provider Identifier
1255873238
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006338 Issued in CA
Practice address
1060 E Foothill Blvd
Suite 103
Upland, CA 91786-4027
Phone
(909) 981-8904
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006338 CA Primary

Addresses

Primary practice location

1060 E Foothill Blvd
Suite 103
Upland, CA 91786-4027

Mailing address

1060 E Foothill Blvd
Suite 103
Upland, CA 91786-4027
Phone (909) 981-8904

Other names 1

  • Gladys Gallardo Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170522002525 CA Practitioner - Nurse Practitioner 1951678911 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95006338CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C CurrentSince Feb 1, 2021 Accepting new patients
Ghassan Hadi MD Inc CurrentSince May 1, 2017 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1060 E Foothill Blvd
Ste 103
Upland, CA 91786
Phone (909) 981-8904

Interoperability endpoints

  • Direct secure messaging: gladys.ramirez.1@30710.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.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1255873238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E FOOTHILL BLVD",
            "address_2": "SUITE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864027",
            "telephone_number": "909-981-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E FOOTHILL BLVD",
            "address_2": "SUITE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864027",
            "telephone_number": "909-981-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "GLADYS",
        "middle_name": "BELEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLADYS",
            "last_name": "GALLARDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.