Individual provider Active NPI

Michelle Ramos

  • Family Nurse Practitioner
  • Cathedral City, CA
National Provider Identifier
1629582465
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008052 Issued in CA
Practice address
69175 Ramon Rd # a
Cathedral City, CA 92234-3344
Phone
(760) 321-6776
NPI assigned
Nov 30, 2017
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95008052 CA Primary

Addresses

Primary practice location

69175 Ramon Rd # a
Cathedral City, CA 92234-3344

Mailing address

1532 San Bernardino Ave Ste B7
Pomona, CA 91767-3559

Other practice location 1

69175 Ramon Rd # A
Cathedral City, CA 92234-3344
Phone (760) 321-6776

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107001882 CA Practitioner - Nurse Practitioner 3274925979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center Single Specialty CurrentSince Oct 6, 2021 Accepting new patients
Tri-State Community Healthcare Center Single Specialty CurrentSince Oct 6, 2021 Accepting new patients
Tri-State Community Healthcare Center Single Specialty Current Accepting new patients

Locations

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

4141 Verdugo Rd
Los Angeles, CA 90065
Phone (818) 760-5144

820 W Broadway St
Needles, CA 92363
Phone (760) 326-0222

1532 San Bernardino Ave
Ste B7
Pomona, CA 91767
Phone (909) 301-4041

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mramos752043@direct.ochin.org

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1629582465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 SAN BERNARDINO AVE STE B7",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69175 RAMON RD # A",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343344",
            "telephone_number": "760-321-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69175 Ramon Rd # A",
            "address_purpose": "LOCATION",
            "city": "Cathedral City",
            "state": "CA",
            "postal_code": "922343344",
            "country_code": "US",
            "telephone_number": "760-321-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.