Individual provider Active NPI

Ramon Resa, M.D.

  • Pediatrics Physician
  • Porterville, CA
National Provider Identifier
1811066210
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A40400 Issued in CA
Practice address
569 W Putnam Ave
Porterville, CA 93257-3260
Phone
(559) 781-9301
Fax
(559) 782-7639
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A40400 CA Primary

Addresses

Primary practice location

569 W Putnam Ave
Porterville, CA 93257-3260

Mailing address

PO Box 580
Lemoore, CA 93245-0580
Phone (559) 386-4500

Other identifiers 1

IdentifierTypeStateIssuer
00A404000MedicaidCA

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
I20231024000031 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6204282536

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40400CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra View Local Health Care District Past Accepting new patients
Aria Community Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ramon.resa.p1@direct.ariachc.nextgenshare.com

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1811066210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450580",
            "telephone_number": "559-386-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573260",
            "telephone_number": "559-781-9301",
            "fax_number": "559-782-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESA",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A40400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A404000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.