Organization Active NPI

Ramin Ram, MD PC

  • Dermatology Physician
  • Glendora, CA
National Provider Identifier
1770897795
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RAMIN RAM, MD PC
Practice address
1628 S Grand Ave
Glendora, CA 91740-5433
Phone
(310) 276-1252
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Dr. Ramin Ram, MDNPI 1316190457
Title
Ceo
Phone
(310) 276-1252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X

Addresses

Primary practice location

1628 S Grand Ave
Glendora, CA 91740-5433

Mailing address

308 S Almont Dr
Beverly Hills, CA 90211-3548
Phone (310) 276-1252

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherCANONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120920000496 CA Part B Supplier - Clinic/Group Practice 9739337544 Receives reassigned benefits from 2 practitioners
Practice locations: Glendora, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2166073Ramin Ram, MD1628 S Grand Ave, Glendora, CA 91740ComplianceSep 10, 2026

National Provider Directory

National Provider Directory

Locations

26500 Agoura Rd
Ste 102391
Calabasas, CA 91302
Phone (310) 210-1256

1628 S Grand Ave
Glendora, CA 91740
Phone (626) 963-6004

1245 Wilshire Blvd
Ste 907
Los Angeles, CA 90017
Phone (213) 481-2982

9201 W Sunset Blvd
Ste 500
West Hollywood, CA 90069
Phone (310) 276-1252

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1770897795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S ALMONT DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113548",
            "telephone_number": "310-276-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405433",
            "telephone_number": "310-276-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN RAM, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "RAM",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-276-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.