Individual provider Active NPI

Ismael Ramirez Cota, FNP

  • Family Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1821657503
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95011669 Issued in CA
Practice address
41210 11TH St W Ste K
Palmdale, CA 93551-1450
Phone
(661) 947-7100
NPI assigned
Jun 6, 2019
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95011669 CA Primary

Addresses

Primary practice location

41210 11TH St W Ste K
Palmdale, CA 93551-1450

Mailing address

37461 Limelight Way
Palmdale, CA 93551-6218
Phone (661) 429-5737

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
I20200417000403 CA Practitioner - Nurse Practitioner 2062842917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 E Locust St
Lone Pine, CA 93545-8044
Phone (760) 876-5501

510 E Locust St
Lone Pine, CA 93545-8044
Phone (760) 876-1146

PO Box
Suite 1009
Lone Pine, CA 93545

PO Box
Suite 1009
Lone Pine, CA 93545-1009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95011669CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Inyo Healthcare District CurrentSince Mar 5, 2020 Accepting new patients
Southern Inyo Healthcare District Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1821657503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37461 LIMELIGHT WAY",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935516218",
            "telephone_number": "661-429-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41210 11TH ST W STE K",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511450",
            "telephone_number": "661-947-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTA",
        "first_name": "ISMAEL",
        "middle_name": "RAMIREZ",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.