Individual provider Active NPI

Ramona B Obeso, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1902092596
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 19094 Issued in CA
Practice address
1617 E 1St St
Santa Ana, CA 92701-6385
Phone
(714) 246-0000
Fax
(714) 541-3525
NPI assigned
Sep 18, 2007
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 19094 CA Primary

Addresses

Primary practice location

1617 E 1St St
Santa Ana, CA 92701-6385

Mailing address

PO Box 39986
Downey, CA 90239-0986
Phone (562) 619-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19094CAMDAcupuncturist
PA 19094CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horus Multispeciality Medical Group CurrentSince Jan 1, 2026 Accepting new patients

Locations

5220 Clark Ave
Ste 200
Lakewood, CA 90712
Phone (562) 210-5141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1902092596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39986",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902390986",
            "telephone_number": "562-619-3080",
            "fax_number": "562-622-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016385",
            "telephone_number": "714-246-0000",
            "fax_number": "714-541-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBESO",
        "first_name": "RAMONA",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA  19094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.