Active NPI
Estela Ramirez
- Addiction (Substance Use Disorder) Counselor
- Coachella, CA
National Provider Identifier
1710546486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1350120619
- Practice address
- 84109 La Jolla Ave
Coachella, CA 92236-9575 - Phone
- (760) 619-2862
- Fax
- (760) 398-9790
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1350120619 | CA | Primary |
Addresses
Primary practice location
84109 La Jolla Ave
Coachella, CA 92236-9575
Mailing address
1612 1St St
Coachella, CA 92236-1407
Phone (760) 398-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497291819 | Other | CA | MEDICAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1350120619 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside County Latino Commission on Alcohol and Drug Abuse Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Bea's Detox Home for Men
- Children's Substance Abuse Rehabilitation Facility
- Coachella, CA
- NPI 1497291819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1710546486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 1ST ST",
"city": "COACHELLA",
"state": "CA",
"postal_code": "922361407",
"telephone_number": "760-398-9000",
"fax_number": "760-398-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84109 LA JOLLA AVE",
"city": "COACHELLA",
"state": "CA",
"postal_code": "922369575",
"telephone_number": "760-619-2862",
"fax_number": "760-398-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "ESTELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1350120619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "1497291819",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coachella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.