Individual provider Active NPI

Jose Martin Aguayo Ramos, MD

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1457270258
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210010 Issued in CA
Practice address
1717 Las Vegas St
Modesto, CA 95358-5500
Phone
(209) 384-6486
Fax
(209) 359-2045
NPI assigned
Jul 14, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210010 CA Primary

Addresses

Primary practice location

1717 Las Vegas St
Modesto, CA 95358-5500

Mailing address

1700 Laurel Ave
Merced, CA 95341-5149
Phone (619) 771-5018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1457270258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LAUREL AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953415149",
            "telephone_number": "619-771-5018",
            "fax_number": "209-359-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LAS VEGAS ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953585500",
            "telephone_number": "209-384-6486",
            "fax_number": "209-359-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUAYO RAMOS",
        "first_name": "JOSE",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "210010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.