Individual provider Active NPI

Jimmy G Ramos, P.A.

  • Family Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1639135288
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA875 Issued in NV
Practice address
2670 N Las Vegas Blvd
Suite 109
North Las Vegas, NV 89030-5871
Phone
(702) 399-0604
Fax
(702) 399-0607
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 PA875 NV Primary

Addresses

Primary practice location

2670 N Las Vegas Blvd
Suite 109
North Las Vegas, NV 89030-5871

Mailing address

2670 N Las Vegas Blvd
Suite 109
North Las Vegas, NV 89030-5871
Phone (702) 399-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20130626000639 NV Practitioner - Physician Assistant 8123267945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Rosa Medical Centers of Nevada IncGroup PAC ID 4587716964, 7 clinicians

Practice addresses (Care Compare)

4161 S Eastern Ave
Suite B3
Las Vegas, NV 89119-5483
Phone (702) 693-6222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doyne Medical Clinic Inc Family Medicine PastSince Jan 14, 2017 Accepting new patients
DMC Medical Clinic LTD Family Medicine PastSince Mar 11, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1639135288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 N LAS VEGAS BLVD",
            "address_2": "SUITE 109",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305871",
            "telephone_number": "702-399-0604",
            "fax_number": "702-399-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 N LAS VEGAS BLVD",
            "address_2": "SUITE 109",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305871",
            "telephone_number": "702-399-0604",
            "fax_number": "702-399-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "JIMMY",
        "middle_name": "G",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "PA875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.