Individual provider Active NPI

Ramon Enrique Suarez

  • Clinical Social Worker
  • Banning, CA
National Provider Identifier
1699108084
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
92760 Issued in CA
Practice address
12 S San Gorgonio Ave Ste 201
Banning, CA 92220-6015
Phone
(840) 228-0304
NPI assigned
Aug 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 92760 CA Primary

Addresses

Primary practice location

12 S San Gorgonio Ave Ste 201
Banning, CA 92220-6015

Mailing address

1386 Galaxy Dr
Beaumont, CA 92223-3454
Phone (909) 233-0927

Other practice location 1

27261 Las Ramblas Ste 220
Mission Viejo, CA 92691-6468
Phone (909) 665-0966

Other practice location 2

25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (909) 665-0966

Other practice location 3

5849 Crocker St
Los Angeles, CA 90003-1311
Phone (323) 234-4445 ext. 100

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260221000369 CA Practitioner - Clinical Social Worker 1951882521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1386 Galaxy Dr
Beaumont, CA 92223-3454

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92760CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restoring Peace Counseling LLC Clinical CurrentSince Nov 17, 2024 Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Jan 28, 2026 Accepting new patients
Special Service for Groups, Inc. Past Accepting new patients

Locations

12 S San Gorgonio Ave
Ste 201
Banning, CA 92220
Phone (840) 228-0304

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1699108084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 GALAXY DR",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233454",
            "telephone_number": "909-233-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S SAN GORGONIO AVE STE 201",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206015",
            "telephone_number": "840-228-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27261 Las Ramblas Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916468",
            "country_code": "US",
            "telephone_number": "909-665-0966",
            "fax_number": "909-557-2149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25910 Acero Ste 160",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926912777",
            "country_code": "US",
            "telephone_number": "909-665-0966",
            "fax_number": "909-557-2149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5849 Crocker St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900031311",
            "country_code": "US",
            "telephone_number": "323-234-4445 x100",
            "fax_number": "323-234-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "RAMON",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

Verify at the official NPI Registry.