Mirtha Arely Ramirez
Individual provider Active NPI Nurse Practitioner · Santa Clarita, CA
NPI 1811567142 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1811567142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95017670 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211022001271 | CA | Practitioner - Nurse Practitioner | 6002204146 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95017670 | CA | Yes |
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
Other providers in Santa Clarita, CA
- Daisy Joanna Ramirez
- David Jesus Ramirez I
- Diego Ivan Ramirez
- Lillian J Ramirez
- Maira Ramirez
- Alejandro Ramos
- Brenda Roldan Ramos
- James Richard Penaloza Ramos
- Leslie Ramos
- Nyvia N Randle
All providers in Santa Clarita, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.