Active NPI
Lorerky Del Milagro Ramirez-Moya, MD
- Child & Adolescent Psychiatry Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A133842
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A133842 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine M.D. Professional Corporation | Psychiatry | Current | Accepting new patients |
| Sacramento Neuropsych Associates Inc | Psychiatry | Current | Accepting new patients |
| Mark David Levine, MD Oakland PC | Psychiatry | Current | Accepting new patients |
| Mark David Levine, MD Burlingame PC | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Folsom, CA
- NPI 1740867092
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
-
- Psychiatry Physician
- Oakland, CA
- NPI 1902022379
-
- Psychiatry Physician
- Sunnyvale, CA
- NPI 1538385943
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.