Active NPI
Shaana Dionne Ramos
- Licensed Psychiatric Technician
- Orange, CA
National Provider Identifier
1366023921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 29665
- Practice address
- 401 S Tustin St BLDG D
Orange, CA 92866-2550 - Phone
- (714) 289-3936
- NPI assigned
- Apr 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 29665 | CA | Primary |
Addresses
Primary practice location
401 S Tustin St BLDG D
Orange, CA 92866-2550
Mailing address
17595 Harvard Ave Ste C1002
Irvine, CA 92614-8516
Phone (949) 342-6584
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 |
|---|---|---|---|
| 29665 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1366023921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17595 HARVARD AVE STE C1002",
"city": "IRVINE",
"state": "CA",
"postal_code": "926148516",
"telephone_number": "949-342-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S TUSTIN ST BLDG D",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662550",
"telephone_number": "714-289-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "SHAANA",
"middle_name": "DIONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2022-02-04",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "29665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.