Individual provider Active NPI

Nancy Ann Ramirez, NP-C

  • Family Nurse Practitioner
  • Pomona, CA
National Provider Identifier
1992185847
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
169575 Issued in AK
Practice address
1880 N Orange Grove Ave
Pomona, CA 91767-3006
Phone
(909) 620-7200
Fax
(909) 620-5800
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 169575 AK Primary
Registered Nurse 163W00000X 811092 CA
Family Nurse Practitioner 363LF0000X 202100565NP-PP OR
Family Nurse Practitioner 363LF0000X 171496 MT
Family Nurse Practitioner 363LF0000X AP61128167 WA
Family Nurse Practitioner 363LF0000X 95001729 CA

Addresses

Primary practice location

1880 N Orange Grove Ave
Pomona, CA 91767-3006

Mailing address

PO Box 5608
Portland, OR 97228-5608
Phone (888) 227-3312

Other names 1

  • Nancy Ann Stark Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nramirez1171283@oc.providencedirect.org

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
I20150728006581 CA Practitioner - Nurse Practitioner 1052625506 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
811092CAMDRegistered Nurse
169575AKMDFamily Nurse Practitioner
171496MTMDFamily Nurse Practitioner
202100565NP-PPORMDFamily Nurse Practitioner
95001729CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Dec 9, 2019 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Dec 9, 2019 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Jun 8, 2015 Accepting new patients
Chaparral Medical Group Inc CurrentSince Jun 8, 2015 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Jun 8, 2015 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Joseph M Molina MD Professional Corporation-Southern California Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1028 S San Fernando Blvd
Burbank, CA 91502
Phone (818) 324-6480

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

840 Towne Center Dr
Pomona, CA 91767

1880 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-7200

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

Interoperability endpoints

  • Direct secure messaging: nramirez1171283@oc.providencedirect.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1992185847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5608",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285608",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673006",
            "telephone_number": "909-620-7200",
            "fax_number": "909-620-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "169575",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "811092",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202100565NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "171496",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61128167",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nramirez1171283@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1028 S San Fernando Blvd",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915021537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "STARK",
            "middle_name": "ANN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.