Active NPI
Ferdison Kyle Ramos
- Physician Assistant
- Long Beach, CA
National Provider Identifier
1689482804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA65594
- Practice address
- 2681 E Tyler St
Long Beach, CA 90810-1336 - Phone
- (562) 881-5460
- NPI assigned
- Dec 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA65594 | CA | Primary |
Addresses
Primary practice location
2681 E Tyler St
Long Beach, CA 90810-1336
Mailing address
2681 E Tyler St
Long Beach, CA 90810-1336
Phone (562) 881-5460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA65594 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1689482804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2681 E TYLER ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101336",
"telephone_number": "562-881-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2681 E TYLER ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101336",
"telephone_number": "562-881-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "FERDISON KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA65594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.