Individual provider Active NPI

Lorerky Del Milagro Ramirez-Moya, MD

  • Child & Adolescent Psychiatry Physician
  • Roseville, CA
National Provider Identifier
1902006984
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A133842 Issued in CA
Practice address
1420 Rocky Ridge Dr Ste 230
Roseville, CA 95661-2835
Phone
(916) 783-9697
Fax
(916) 783-9721
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A133842 CA
Child & Adolescent Psychiatry Physician 2084P0804X A133842 CA Primary

Addresses

Primary practice location

1420 Rocky Ridge Dr Ste 230
Roseville, CA 95661-2835

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020002118 CA Practitioner - Psychiatry 4183893266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacramento Neuropsych Associates IncGroup PAC ID 3971970807, 8 clinicians

Practice addresses (Care Compare)

2150 E Bidwell St
Folsom, CA 95630-6453
Phone (916) 473-2235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133842CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine M.D. Professional Corporation Psychiatry Current Accepting new patients
Sacramento Neuropsych Associates Inc Psychiatry CurrentSince Mar 1, 2025 Accepting new patients
Mark David Levine, MD Oakland PC Psychiatry CurrentSince Oct 1, 2017 Accepting new patients
Mark David Levine, MD Burlingame PC Psychiatry CurrentSince Oct 1, 2017 Accepting new patients
Mark David Levinem MD Sunnyvale PC Psychiatry Past Accepting new patients

Locations

1590 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 297-7500

2150 E Bidwell St
Folsom, CA 95630
Phone (916) 473-2235

5100 N 6th St
Ste 135
Fresno, CA 93710
Phone (559) 490-2067

3501 Coffee Rd
Ste 7
Modesto, CA 95355
Phone (209) 676-3069

5800 Stanford Ranch Rd
Ste 720
Rocklin, CA 95765
Phone (916) 473-2235

1420 Rocky Ridge Dr
Ste 230
Roseville, CA 95661
Phone (916) 783-9697

1420 Rocky Ridge Dr
Ste 120
Roseville, CA 95661
Phone (916) 659-8225

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

999 Baker Way
Ste 420
San Mateo, CA 94404
Phone (650) 571-9652

Organizations & group practices 5

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1902006984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 ROCKY RIDGE DR STE 230",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612835",
            "telephone_number": "916-783-9697",
            "fax_number": "916-783-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-MOYA",
        "first_name": "LORERKY",
        "middle_name": "DEL MILAGRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A133842",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A133842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.