Individual provider Active NPI

Roderick P Ramos, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Lomita, CA
National Provider Identifier
1801069984
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
19706 Issued in CA
Practice address
2040 Pacific Coast Hwy Ste S
Lomita, CA 90717-2660
Phone
(424) 347-8008
Fax
(844) 481-9664
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 19706 CA Primary

Addresses

Primary practice location

2040 Pacific Coast Hwy Ste S
Lomita, CA 90717-2660

Mailing address

2040 Pacific Coast Hwy Ste S
Lomita, CA 90717-2660
Phone (424) 347-8008

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cms.officeally.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080929000526 CA Practitioner - Physician Assistant 4981771268 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19706CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unifiedcare Community Health Center, a California Nonprofit Organization Current Accepting new patients
Multi Health Care Medical Group Inc. PastSince Oct 1, 2002 Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

2040 Pacific Coast Hwy
Ste S
Lomita, CA 90717
Phone (424) 347-8008

Interoperability endpoints

  • Direct secure messaging: roderick.ramospa.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 6

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1801069984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 PACIFIC COAST HWY STE S",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172660",
            "telephone_number": "424-347-8008",
            "fax_number": "844-481-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 PACIFIC COAST HWY STE S",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172660",
            "telephone_number": "424-347-8008",
            "fax_number": "844-481-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "RODERICK",
        "middle_name": "P",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "19706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cms.officeally.com",
            "affiliation": "N",
            "endpointDescription": "Patient Ally portal in which patients have access to their medical records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2040 Pacific Coast Hwy Ste S",
            "city": "Lomita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907172660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

Verify at the official NPI Registry.