Active NPI
Nancy Ann Ramirez, NP-C
- Family Nurse Practitioner
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 169575
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 811092 | CA | MD | Registered Nurse |
| 169575 | AK | MD | Family Nurse Practitioner |
| 171496 | MT | MD | Family Nurse Practitioner |
| 202100565NP-PP | OR | MD | Family Nurse Practitioner |
| 95001729 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Chaparral Medical Group Inc | Current | Accepting new patients | |
| Chaparral Medical Group Inc. | Current | 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
- 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.
-
- Dermatology Physician
- Rancho Cucamonga, CA
- NPI 1093777666
-
- Orthopaedic Surgery Physician
- Pomona, CA
- NPI 1477733624
-
dba Facey Medical Group
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
dba Molina Medical Centers
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Neurological Surgery Physician
- Pomona, CA
- NPI 1386606259
-
- Cardiovascular Disease Physician
- Upland, CA
- NPI 1639869605
-
- Dermatology Physician
- Chino Hills, CA
- NPI 1750634325
-
dba Providence Express Care
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
dba Exer With Providence
- Urgent Care Clinic/Center
- Santa Clarita, CA
- NPI 1922651561
-
- Family Medicine Physician
- Wilmington, CA
- NPI 1982976692
-
dba Providence St. Peter Chemical Dependency Center
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.