Individual provider Active NPI

Mariela Vega Ramirez

  • Speech-Language Assistant
  • Stockton, CA
National Provider Identifier
1275275505
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
4054 Issued in CA
Practice address
1547 Michael Ave
Stockton, CA 95206-3528
Phone
(209) 244-0452
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4054 CA Primary

Addresses

Primary practice location

1547 Michael Ave
Stockton, CA 95206-3528

Mailing address

1547 Michael Ave
Stockton, CA 95206-3528
Phone (209) 244-0452

Other practice location 1

3498 Green Valley Rd
Rescue, CA 95672-9625
Phone (530) 391-8670

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
4054CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1275275505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 MICHAEL AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952063528",
            "telephone_number": "209-244-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 MICHAEL AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952063528",
            "telephone_number": "209-244-0452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3498 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Rescue",
            "state": "CA",
            "postal_code": "956729625",
            "country_code": "US",
            "telephone_number": "530-391-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA RAMIREZ",
        "first_name": "MARIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.