Individual provider Active NPI

Gary Estuardo Ramirezcong

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1376867655
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
118264 Issued in CA
Practice address
117 W Tunnell St
Santa Maria, CA 93458-4096
Phone
(805) 614-4940
Fax
(805) 614-0179
NPI assigned
Mar 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 118264 CA Primary

Addresses

Primary practice location

117 W Tunnell St
Santa Maria, CA 93458-4096

Mailing address

117 W Tunnell St
Santa Maria, CA 93458-4096
Phone (805) 614-4940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gramirezc@t-mha.org

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

LicenseStateTypeSpecialty
118264CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions - Mental Health Association Marriage & Family Therapist PastSince Oct 31, 2021 Accepting new patients
Santa Barbara County Auditor PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 2

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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1376867655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W TUNNELL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584096",
            "telephone_number": "805-614-4940",
            "fax_number": "805-614-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W TUNNELL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584096",
            "telephone_number": "805-614-4940",
            "fax_number": "805-614-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZCONG",
        "first_name": "GARY",
        "middle_name": "ESTUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gramirezc@t-mha.org",
            "affiliation": "N",
            "address_1": "117 W Tunnell St",
            "city": "Santa Maria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934584096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.