Victor Ramirez, PHYSICIANS ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15328 Issued in CA

Practice address

17695 Arrow Blvd
Clinica Medica Familiar
Fontana, CA 92335-4041

Phone

(909) 854-3790

Fax

(909) 854-3792

NPI assigned

May 3, 2006

Last updated

Oct 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Fontana Physicians Associates a Medical Corporation

  dba Fontana Clinica Medica Familiar

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1174621585
  Medicare reassignment
• San Bernardino Physicians Associates, a Medical Corporation

  dba San Bernardino Clinica Medica Familiar

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1487752895
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1851359327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17695 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354041",
            "telephone_number": "909-854-3790",
            "fax_number": "909-854-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17695 ARROW BLVD",
            "address_2": "CLINICA MEDICA FAMILIAR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354041",
            "telephone_number": "909-854-3790",
            "fax_number": "909-854-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "PHYSICIANS ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15328",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": "PA15328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noel Ernesto Ramirez Jr., M.D.
• Rita Ramirez
• Saraet Ramirez, RN
• Silverio J Ramirez
• Stephanie Ramirez
• Yvette Ramirez
• Raymond R. Ramos, MD
• Richard Ramos, PT
• Rancho Industrial Medical Group, Inc.
• Subhadra Rani

• Physician Assistant in Fontana, CA
• Providers in Fontana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.
• 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.