Organization Active NPI

Juan Carlos Ramirez MD, Inc.

  • Primary Care Clinic/Center
  • Huntington Park, CA
National Provider Identifier
1821671124
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JUAN CARLOS RAMIREZ MD, INC.
Practice address
3355 E Gage Ave
Huntington Park, CA 90255-5530
Phone
(323) 583-3986
Fax
(323) 583-9635
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Juan Carlos Ramirez, MDNPI 1285654350
Title
Medical Doctor
Phone
(323) 583-3986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3355 E Gage Ave
Huntington Park, CA 90255-5530

Mailing address

3355 E Gage Ave
Huntington Park, CA 90255-5530
Phone (323) 583-3986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211227000612 CA Part B Supplier - Clinic/Group Practice 5294126439 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2014864Juan C Ramirez, MD Inc3355 E Gage Avenue, Huntington Park, CA 90255Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

3355 E Gage Ave
#108
Huntington Park, CA 90255

3355 E Gage Ave
Huntington Park, CA 90255
Phone (323) 583-3986

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1821671124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 E GAGE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555530",
            "telephone_number": "323-583-3986",
            "fax_number": "323-583-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 E GAGE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555530",
            "telephone_number": "323-583-3986",
            "fax_number": "323-583-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CARLOS RAMIREZ MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "323-583-3986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.