Active NPI
Vivek Ramakrishnan, DO
- Neurological Surgery Physician
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 20A11668
- Practice address
- 400 N Pepper Ave
Dept. Neurosurgery Mod# 3
Colton, CA 92324-1801 - Phone
- (909) 580-3353
- Fax
- (909) 580-1363
- NPI assigned
- Oct 2, 2009
- Last updated
- Oct 4, 2016
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 20A11668 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Dept. Neurosurgery Mod# 3
Colton, CA 92324-1801
Mailing address
PO Box 232410
Dept. Neurosurgery Mod# 3
San Diego, CA 92193-2410
Phone (619) 543-6164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11668 | CA | MD | Neurological Surgery Physician |
Practice roles
Locations
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
201 State Rt 17
Ste 501
Rutherford, NJ 07070
Phone (201) 457-0044
Organizations & group practices 14
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1649505009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"address_2": "DEPT. NEUROSURGERY MOD# 3",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410",
"telephone_number": "619-543-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"address_2": "DEPT. NEUROSURGERY MOD# 3",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-3353",
"fax_number": "909-580-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMAKRISHNAN",
"first_name": "VIVEK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-02",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "20A11668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.