Individual provider Active NPI

Adrian Eric Ramos, MD

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1831116714
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G69699 Issued in CA
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

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203000177 CA Practitioner - Undersea and Hyperbaric Medicine 4082611900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G69699CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Wound Healing Center, Inc. CurrentSince Aug 18, 2024 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 PastSince Nov 15, 2010 Accepting new patients

Locations

4335 N Star Way
Ste A
Modesto, CA 95356
Phone (209) 342-5125

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.