Active NPI
Fabiola B. Ramos-Mercado, D.M.D
- Dentist
- Sacramento, CA
National Provider Identifier
1386627263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102261
- Practice address
- 1500 21St St
Sacramento, CA 95811 - Phone
- (916) 443-3299
- Fax
- (916) 325-1980
- NPI assigned
- Nov 23, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS031298L | PA | |
| Dentist | 122300000X | 22DI02409500 | NJ | |
| Dentist | 122300000X | 102261 | CA | Primary |
Addresses
Primary practice location
1500 21St St
Sacramento, CA 95811
Mailing address
1500 21St St
Sacramento, CA 95811-5216
Phone (916) 443-3299
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012729750001 | Medicaid | PA | |
| 0207152 | Medicaid | NJ | |
| 090647F61 | Other | FEDERAL PROV. ID NO. |
Other names 1
- Fabiola B. Ramos
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102261 | CA | MD | Dentist |
| 22DI02409500 | NJ | MD | Dentist |
| DS031298L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1386627263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 21ST ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115216",
"telephone_number": "916-443-3299",
"fax_number": "916-325-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 21ST ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95811",
"telephone_number": "916-443-3299",
"fax_number": "916-325-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS-MERCADO",
"first_name": "FABIOLA",
"middle_name": "B.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS031298L",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02409500",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012729750001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207152",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL PROV. ID NO.",
"identifier": "090647F61",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FABIOLA",
"last_name": "RAMOS",
"middle_name": "B.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.