Active NPI
Ramon Tibay Pacina Jr., NP
- Family Nurse Practitioner
- Carson, CA
National Provider Identifier
1407434004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017039
- Practice address
- 23018 Moneta Ave
Carson, CA 90745-4732 - Phone
- (310) 830-9577
- NPI assigned
- Apr 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95017039 | CA | Primary |
Addresses
Primary practice location
23018 Moneta Ave
Carson, CA 90745-4732
Mailing address
1819 Washington Ave
Apt a
Santa Monica, CA 90403-3324
Phone (818) 934-7833
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CARSON | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20430 Starshine Rd
Walnut, CA 91789-3539
Phone (424) 789-4691
6221 Wilshire Blvd
Suite 504
Los Angeles, CA 90048-5223
Phone (323) 965-9995
Hospital & facility affiliations
- Emerald Home Health, Inc
- Southern California Hospital at Hollywood
- Los Angeles Community Hospital
- Kaiser Foundation Hospital - West la
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017039 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharwin Tafazoli Inc | Current | Accepting new patients | |
| Beverly Hills Health Inc | Current | Accepting new patients |
Locations
9200 W Pico Blvd
Los Angeles, CA 90035
Phone (310) 274-4626
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1083142376
-
- Primary Care Clinic/Center
- Cerritos, CA
- NPI 1649646209
-
- Internal Medicine Physician
- San Pedro, CA
- NPI 1053643171
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1518570290
-
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
- NPI 1447806278
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922001809
-
- Home Health Agency
- Simi Valley, CA
- NPI 1679576607
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1134274897
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1407434004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 WASHINGTON AVE",
"address_2": "APT A",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904033324",
"telephone_number": "818-934-7833",
"fax_number": "562-786-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23018 MONETA AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907454732",
"telephone_number": "310-830-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACINA",
"first_name": "RAMON",
"middle_name": "TIBAY",
"name_suffix": "Jr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-02",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017039",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CARSON",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23018 Moneta Ave",
"city": "Carson",
"state": "CA",
"country_code": "US",
"postal_code": "907454732",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.