Individual provider Active NPI

Mirtha Arely Ramirez

  • Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1811567142
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017670 Issued in CA
Practice address
26357 McBean Pkwy Ste 210
Santa Clarita, CA 91355-4497
Phone
(661) 593-7379
Fax
(661) 568-6856
NPI assigned
Jun 29, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017670 CA Primary

Addresses

Primary practice location

26357 McBean Pkwy Ste 210
Santa Clarita, CA 91355-4497

Mailing address

26357 McBean Pkwy Ste 210
Santa Clarita, CA 91355-4497
Phone (661) 593-7379

Other practice location 1

2650 Jones Way Ste 9
Simi Valley, CA 93065-1218
Phone (805) 915-4440

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
I20211022001271 CA Practitioner - Nurse Practitioner 6002204146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017670CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Current Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Sep 15, 2021 Accepting new patients
Algos Inc., a Medical Corporation Current Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Sep 15, 2021 Accepting new patients

Locations

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451

2650 Jones Way
Ste 9
Simi Valley, CA 93065
Phone (805) 584-9293

26357 McBean Pkwy
Ste 210
Valencia, CA 91355
Phone (661) 254-0172

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1811567142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY STE 210",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554497",
            "telephone_number": "661-593-7379",
            "fax_number": "661-568-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26357 MCBEAN PKWY STE 210",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554497",
            "telephone_number": "661-593-7379",
            "fax_number": "661-568-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Jones Way Ste 9",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651218",
            "country_code": "US",
            "telephone_number": "805-915-4440",
            "fax_number": "805-915-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MIRTHA",
        "middle_name": "ARELY",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.