Active NPI
Miranda Nicole Ramirez, LCSW
- Social Worker
- Vallejo, CA
National Provider Identifier
1275727414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 27621
- Practice address
- 355 Tuolumne St # Ms 20-210
Vallejo, CA 94590-5700 - Phone
- (707) 553-5491
- NPI assigned
- Aug 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27621 | CA | |
| Social Worker | 104100000X | 27621 | CA | Primary |
Addresses
Primary practice location
355 Tuolumne St # Ms 20-210
Vallejo, CA 94590-5700
Mailing address
2471 E. Walnut St.
Pasadena, CA 91107-3394
Phone (626) 793-5741
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27621 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1275727414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 E. WALNUT ST.",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073394",
"telephone_number": "626-793-5741",
"fax_number": "626-577-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 TUOLUMNE ST # MS 20-210",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905700",
"telephone_number": "707-553-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "MIRANDA",
"middle_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27621",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "27621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.