Individual provider Active NPI

Elena Rosa Ramos, PA-C

  • Physician Assistant
  • Oceanside, CA
National Provider Identifier
1306489570
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA57316 Issued in CA
Practice address
605 Crouch St BLDG C
Oceanside, CA 92054-4415
Phone
(760) 736-6767
NPI assigned
Oct 21, 2019
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA57316 CA Primary

Addresses

Primary practice location

605 Crouch St BLDG C
Oceanside, CA 92054-4415

Mailing address

605 Crouch St BLDG C
Oceanside, CA 92054-4415
Phone (760) 736-6767

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
I20200122001949 CA Practitioner - Physician Assistant 1153756077 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA57316CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc CurrentSince Jun 12, 2023 Accepting new patients
La Jolla Spine Institute Medical Group, Inc. CurrentSince Dec 3, 2019 Accepting new patients
Scripps Health Current Accepting new patients
North County Health Project Inc CurrentSince Jun 12, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Aug 1, 2020 Accepting new patients
North County Health Project Inc Past Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

332 Santa Fe Dr
Ste 110
Encinitas, CA 92024
Phone (760) 632-4266

332 Santa Fe Dr
Ste 120
Encinitas, CA 92024
Phone (760) 942-4400

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

605 Crouch St
Bldg C
Oceanside, CA 92054
Phone (760) 757-4566

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eramos372873@scrippshlth.medalliesdirect.net
  • Direct secure messaging: eramos642630@direct.ochin.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1306489570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 CROUCH ST BLDG C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544415",
            "telephone_number": "760-736-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CROUCH ST BLDG C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544415",
            "telephone_number": "760-736-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ELENA",
        "middle_name": "ROSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-06-15",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.