Individual provider Active NPI

Nelida E Vazquez-Ramirez, PSY.D.

  • Clinical Psychologist
  • Arcadia, CA
National Provider Identifier
1336288919
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20379 Issued in CA
Practice address
440 E Huntington Dr Ste 360
Arcadia, CA 91006-3765
Phone
(818) 533-2337
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20379 CA Primary

Addresses

Primary practice location

440 E Huntington Dr Ste 360
Arcadia, CA 91006-3765

Mailing address

PO Box 661004
Arcadia, CA 91066-1004
Phone (818) 533-2337

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

LicenseStateTypeSpecialty
PSY20379CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelida E Vazquez-Ramirez Clinical CurrentSince Nov 26, 2014 Accepting new patients

Locations

440 E Huntington Dr
Ste 360
Arcadia, CA 91006
Phone (626) 684-3300

16055 Ventura Blvd
Ste 921
Encino, CA 91436
Phone (818) 380-6585

Organizations & group practices 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1336288919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661004",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661004",
            "telephone_number": "818-533-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR STE 360",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063765",
            "telephone_number": "818-533-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-RAMIREZ",
        "first_name": "NELIDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.