Individual provider Active NPI

Elizabeth Yesenia Ramos, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1578915807
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
98408 Issued in CA
Practice address
501 S Atlantic Blvd
Los Angeles, CA 90022-2621
Phone
(323) 268-9191
NPI assigned
Jul 11, 2016
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 71660 CA
Clinical Social Worker 1041C0700X 98408 CA Primary

Addresses

Primary practice location

501 S Atlantic Blvd
Los Angeles, CA 90022-2621

Mailing address

PO Box 11748
Los Angeles, CA 90011-0748
Phone (323) 296-9718

Other practice location 1

4618 Fountain Ave
Los Angeles, CA 90029-1977
Phone (323) 669-4355

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304002771 CA Practitioner - Clinical Social Worker 5597100248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sac Health SystemGroup PAC ID 4385533579, 222 clinicians

Practice addresses (Care Compare)

250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100

488 S K St
San Bernardino, CA 92410-2641
Phone (909) 383-8092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
98408CAMDClinical Social Worker
71660CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sac Health System CurrentSince Jan 7, 2024 Accepting new patients
Sac Health System Current Accepting new patients
Sac Health System CurrentSince Jan 7, 2024 Accepting new patients

Locations

82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733

250 S G St
San Bernardino, CA 92410
Phone (909) 771-2990

1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1578915807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11748",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900110748",
            "telephone_number": "323-296-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S ATLANTIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222621",
            "telephone_number": "323-268-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4618 Fountain Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900291977",
            "country_code": "US",
            "telephone_number": "323-669-4355",
            "fax_number": "323-953-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ELIZABETH",
        "middle_name": "YESENIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "71660",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.