Individual provider Active NPI

Lennie Ramirez Dela Paz, MD

  • Cardiovascular Disease Physician
  • National City, CA
National Provider Identifier
1780759431
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A31351 Issued in CA
Practice address
610 South Euclid Avenue
Suite 303
National City, CA 91950-2953
Phone
(619) 475-3600
Fax
(619) 475-4746
NPI assigned
Nov 21, 2006
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A31351 CA
Cardiovascular Disease Physician 207RC0000X A31351 CA Primary

Addresses

Primary practice location

610 South Euclid Avenue
Suite 303
National City, CA 91950-2953

Mailing address

610 South Euclid Avenue
Suite 303
National City, CA 91950-2953
Phone (619) 475-3600

Other identifiers 1

IdentifierTypeStateIssuer
00A313510MedicaidCA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000267 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9032304803 Practice locations: National City, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 S Euclid Ave
Suite 303
National City, CA 91950-2953
Phone (619) 475-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A31351CAMDCardiovascular Disease Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1780759431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOUTH EUCLID AVENUE",
            "address_2": "SUITE 303",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502953",
            "telephone_number": "619-475-3600",
            "fax_number": "619-475-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SOUTH EUCLID AVENUE",
            "address_2": "SUITE 303",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502953",
            "telephone_number": "619-475-3600",
            "fax_number": "619-475-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA PAZ",
        "first_name": "LENNIE",
        "middle_name": "RAMIREZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A31351",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A31351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A313510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.