Active NPI
Amr H Ramadan, M.D.
- Family Medicine Physician
- Bishop, CA
National Provider Identifier
1831280726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A51610
- Practice address
- 153 Pioneer LN
A
Bishop, CA 93514-2557 - Phone
- (760) 872-7059
- Fax
- (760) 873-2616
- NPI assigned
- Sep 27, 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 | A51610 | CA | Primary |
Addresses
Primary practice location
153 Pioneer LN
A
Bishop, CA 93514-2557
Mailing address
PO Box 1706
A
Bishop, CA 93515-1706
Phone (760) 872-7059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A516100 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51610 | CA | MD | Marriage & Family Therapist |
| A51610 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bishop Family and Maternity Care Medical Clinic | Past | Accepting new patients |
Interoperability endpoints
- amr.ramadan.p1@direct.toiyabe.nextgenshare.com
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Bishop, CA
- NPI 1669607750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1831280726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1706",
"address_2": "A",
"city": "BISHOP",
"state": "CA",
"postal_code": "935151706",
"telephone_number": "760-872-7059",
"fax_number": "760-873-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 PIONEER LN",
"address_2": "A",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142557",
"telephone_number": "760-872-7059",
"fax_number": "760-873-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMADAN",
"first_name": "AMR",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A51610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A516100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.