Active NPI
Robert Mari Guerrero Ramos
- Dentist
- Walnut, CA
National Provider Identifier
1336623255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49397
- Practice address
- 1249 N Grand Ave
Walnut, CA 91789-1312 - Phone
- (909) 444-9488
- NPI assigned
- Sep 17, 2018
- Last updated
- Sep 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49397 | CA | Primary |
Addresses
Primary practice location
1249 N Grand Ave
Walnut, CA 91789-1312
Mailing address
1249 N Grand Ave
Walnut, CA 91789-1312
Phone (909) 444-9488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49397 | Other | CA | LICENSE NO. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 49397 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Mari G Ramos DDS Inc | Dentist | Past | Accepting new patients |
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, 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": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1336623255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 N GRAND AVE",
"city": "WALNUT",
"state": "CA",
"postal_code": "917891312",
"telephone_number": "909-444-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 N GRAND AVE",
"city": "WALNUT",
"state": "CA",
"postal_code": "917891312",
"telephone_number": "909-444-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "ROBERT MARI",
"middle_name": "GUERRERO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-17",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "49397",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.