Mario B Ramos M D a Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A60764 Issued in CA

Legal business name

MARIO B RAMOS M D A PROFESSIONAL CORPORATION

Practice address

560 S Paseo Dorotea
Suite 2
Palm Springs, CA 92264-1434

Phone

(760) 320-4431

Fax

(760) 416-7236

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mario Baens Ramos, M.D.

Title

President

Phone

(760) 320-4431

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1366623969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S PASEO DOROTEA",
            "address_2": "SUITE 2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641434",
            "telephone_number": "760-320-4431",
            "fax_number": "760-416-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S PASEO DOROTEA",
            "address_2": "SUITE 2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641434",
            "telephone_number": "760-320-4431",
            "fax_number": "760-416-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO B RAMOS M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "BAENS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-320-4431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A60764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1754236",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE B",
            "identifier": "P00159661",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Ellis Mantell, M.D.
• Robert Mao, PHARMD
• John Marasigan, LMT, CMT
• Marcel Koppel, MD, Facp, Inc.
• Daniel Margain, MD
• Destiny Kaye Markham, MSW, ACSW
• Tanner David Marriott, DO
• Marston-Smith PS DDS Inc
• Dennis Lee Marta, DPM
• Rosemary Anne Marta, MFT

• Primary Care Clinic/Center in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.