Individual provider Active NPI

Jannel Ram, PA-C

  • Physician Assistant
  • Indio, CA
National Provider Identifier
1962288233
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63212 Issued in CA
Practice address
81800 Dr Carreon Blvd Ste a
Indio, CA 92201-5595
Phone
(760) 342-4242
NPI assigned
Sep 4, 2023
Last updated
Sep 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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 PA63212 CA Primary

Addresses

Primary practice location

81800 Dr Carreon Blvd Ste a
Indio, CA 92201-5595

Mailing address

74401 Hovley LN E Apt 1718
Palm Desert, CA 92260-1715
Phone (209) 765-4035

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017000448 CA Practitioner - Physician Assistant 7719332337 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
San Juan Bautista School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carbon Health Primary Care of California PCGroup PAC ID 8628350626, 22 clinicians

Practice addresses (Care Compare)

2690 5TH St
Suite B
Alameda, CA 94501-6584
Phone (510) 439-9447

2920 Telegraph Ave
Suite 100
Berkeley, CA 94705-2031
Phone (510) 686-3621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA63212CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Primary Care of California PC CurrentSince Oct 1, 2025 Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

1125 Arnold Dr
Martinez, CA 94553
Phone (925) 293-9163

132 Vintage Way
Ste F5
Novato, CA 94945
Phone (415) 539-3241

2131 Irving St
San Francisco, CA 94122
Phone (415) 231-2546

345 Spear St
Ste 120
San Francisco, CA 94105
Phone (415) 612-3275

5120 Cherry Ave
Ste 20
San Jose, CA 95118
Phone (408) 780-2532

46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1962288233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74401 HOVLEY LN E APT 1718",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601715",
            "telephone_number": "209-765-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81800 DR CARREON BLVD STE A",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015595",
            "telephone_number": "760-342-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAM",
        "first_name": "JANNEL",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.