Active NPI
Lilly F Ramirez-Boyd, M.D., Inc
- Medical Specialty Clinic/Center
- Orange, CA
National Provider Identifier
1962636928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- G59399
- Legal business name
- LILLY F RAMIREZ-BOYD, M.D., INC
- Practice address
- 1140 W la Veta Ave
Suite 410
Orange, CA 92868-4223 - Phone
- (714) 285-0612
- Fax
- (714) 285-0618
- NPI assigned
- May 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lilly F Ramirez-Boyd, MD
- Title
- Owner
- Phone
- (714) 285-0612
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | G59399 | CA | Primary |
Addresses
Primary practice location
1140 W la Veta Ave
Suite 410
Orange, CA 92868-4223
Mailing address
1140 W la Veta Ave
Suite 410
Orange, CA 92868-4223
Phone (714) 285-0612
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G59399 | Other | CA STATE LICENSE | |
| 00G593990 | Medicaid | CA | |
| 1386663862 | Other | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1140 W La Veta Ave
Ste 410
Orange, CA 92868
Phone (714) 285-0615
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Orange, CA
- NPI 1386663862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361836800000",
"number": "1962636928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE",
"address_2": "SUITE 410",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684223",
"telephone_number": "714-285-0612",
"fax_number": "714-285-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE",
"address_2": "SUITE 410",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684223",
"telephone_number": "714-285-0612",
"fax_number": "714-285-0618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LILLY F RAMIREZ-BOYD, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-06",
"last_updated": "2013-02-26",
"status": "A",
"authorized_official_last_name": "RAMIREZ-BOYD",
"authorized_official_first_name": "LILLY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-285-0612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "G59399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LICENSE",
"identifier": "G59399",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G593990",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1386663862",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.