Active NPI
Reuven John Ramos
- Psychiatric/Mental Health Nurse Practitioner
- San Fernando, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95016415
- Practice address
- 1600 San Fernando Rd
San Fernando, CA 91340-3115 - Phone
- (818) 365-8086
- NPI assigned
- Jan 16, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95016415 | CA | Primary |
Addresses
Primary practice location
1600 San Fernando Rd
San Fernando, CA 91340-3115
Mailing address
17107 Tulsa St
Granada Hills, CA 91344-4942
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, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
12756 Van Nuys Blvd
Pacoima, CA 91331-1626
Phone (818) 896-0531
1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone (818) 365-8086
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95016415 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Mental Wellness for Life a Nursing Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Brainstim Centers, Inc | Past | Accepting new patients |
Locations
23500 Park Sorrento
Unit A4
Calabasas, CA 91302
Phone (310) 895-7122
7107 Remmet Ave
Canoga Park, CA 91303
Phone (818) 340-3570
7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656
12756 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 896-0531
1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086
1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388
7223 Fair Ave
Sun Valley, CA 91352
Phone (818) 432-4400
28212 Kelly Johnson Pkwy
Ste 215
Valencia, CA 91355
Phone (310) 314-8250
6551 Van Nuys Blvd
Fl 2
Van Nuys, CA 91401
Phone (818) 765-8656
Interoperability endpoints
- johnramos.reuven.p1@direct.nevhc.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Van Nuys, CA
- NPI 1629079009
-
- Psychiatric/Mental Health Nurse Practitioner
- Valencia, CA
- NPI 1982326740
-
- Federally Qualified Health Center (FQHC)
- Sylmar, CA
- NPI 1154322642
-
- Federally Qualified Health Center (FQHC)
- Santa Clarita, CA
- NPI 1548960834
-
- Neurology Physician
- Valencia, CA
- NPI 1518506229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610755200000",
"number": "1508455296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17107 TULSA ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913444942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAN FERNANDO RD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403115",
"telephone_number": "818-365-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "REUVEN JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-16",
"last_updated": "2021-01-16",
"certification_date": "2021-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95016415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.