Active NPI
Adrian Eric Ramos, MD
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1831116714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G69699
- Practice address
- 3125 Conant Ave
Modesto, CA 95350-6527 - Phone
- (209) 524-1668
- Fax
- (209) 524-0014
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G69699 | CA | Primary |
Addresses
Primary practice location
3125 Conant Ave
Modesto, CA 95350-6527
Mailing address
3125 Conant Ave
Modesto, CA 95350-6527
Phone (209) 524-1668
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69699 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Wound Healing Center, Inc. | Current | Accepting new patients | |
| Del Puerto Health Care District | Past | Accepting new patients | |
| Del Puerto Health Care District | Past | Accepting new patients | |
| Doctors Primary Care of Modesto, Inc. | Family Medicine | Past | Accepting new patients |
Locations
4335 N Star Way
Ste A
Modesto, CA 95356
Phone (209) 342-5125
Interoperability endpoints
- https://api.platform.athenahealth.com/20554/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Clinic/Center
- Modesto, CA
- NPI 1730285073
-
- Rural Health Clinic/Center
- Patterson, CA
- NPI 1063430916
-
- Ambulance
- Patterson, CA
- NPI 1841380763
-
- Family Medicine Physician
- Modesto, CA
- NPI 1104065788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1831116714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 CONANT AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506527",
"telephone_number": "209-524-1668",
"fax_number": "209-524-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 CONANT AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506527",
"telephone_number": "209-524-1668",
"fax_number": "209-524-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "ADRIAN",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G69699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.