Individual provider Active NPI

Luis A Perez Ramirez, PSY.D.

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1770670200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19771 Issued in CA
Practice address
220 Montgomery St Ste 1019
San Francisco
San Francisco, CA 94104-3434
Phone
(415) 377-8001
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY19771 CA Primary

Addresses

Primary practice location

220 Montgomery St Ste 1019
San Francisco
San Francisco, CA 94104-3434

Mailing address

240 Dolores St Apt 307
San Francisco
San Francisco, CA 94103-2258

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
I20050411001117 CA Practitioner - Clinical Psychologist 8921045071 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

870 Market St
Suite 1150a
San Francisco, CA 94102-2924
Phone (415) 377-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY19771CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Familiar de la Raza 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770670200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 DOLORES ST APT 307",
            "address_2": "SAN FRANCISCO",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST STE 1019",
            "address_2": "SAN FRANCISCO",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043434",
            "telephone_number": "415-377-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RAMIREZ",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.