Individual provider Active NPI

Esther Granados Ramos, PSYD

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1659777381
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY30254 Issued in CA
Practice address
4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209
Phone
(323) 267-3400
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY30254 CA
Psychologist 103T00000X PSY30254 CA Primary

Addresses

Primary practice location

4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209

Mailing address

4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209
Phone (323) 267-3400

Other identifiers 1

IdentifierTypeStateIssuer
PSY30254OtherCAPSYCHOLOGY LICENSE

Other names 1

  • Ms. Esther Maritza Granados Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY30254CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1659777381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 E CESAR E CHAVEZ AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "323-267-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 E CESAR E CHAVEZ AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "323-267-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ESTHER",
        "middle_name": "GRANADOS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30254",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY30254",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "GRANADOS",
            "middle_name": "MARITZA",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.