Organization Active NPI

Ramona Family Medical Office

  • Clinic/Center
  • San Jacinto, CA
National Provider Identifier
1932384617
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
24742 Issued in CA
Legal business name
RAMONA FAMILY MEDICAL OFFICE
Practice address
1695 South San Jacinto Ave
Suite L
San Jacinto, CA 92583-5103
Phone
(951) 654-8132
Fax
(951) 654-8135
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Thomas Lee Brown, M.D.
Title
Owner
Phone
(951) 654-8132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 24742 CA Primary

Addresses

Primary practice location

1695 South San Jacinto Ave
Suite L
San Jacinto, CA 92583-5103

Mailing address

1695 South San Jacinto Ave
Suite L
San Jacinto, CA 92583-5103
Phone (951) 654-8132

National Provider Directory

National Provider Directory

Locations

1695 S San Jacinto Ave
Ste L
San Jacinto, CA 92583
Phone (951) 654-8132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1932384617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 SOUTH SAN JACINTO AVE",
            "address_2": "SUITE L",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-654-8132",
            "fax_number": "951-654-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 SOUTH SAN JACINTO AVE",
            "address_2": "SUITE L",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-654-8132",
            "fax_number": "951-654-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMONA FAMILY MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-654-8132",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "24742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.