Provider Demographics
NPI:1144622762
Name:RAMOS, OSCAR VLADIMIR (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:VLADIMIR
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3768
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344-3768
Mailing Address - Country:US
Mailing Address - Phone:209-725-7149
Mailing Address - Fax:209-726-0134
Practice Address - Street 1:19901 FIRST ST STE 4
Practice Address - Street 2:
Practice Address - City:HILMAR
Practice Address - State:CA
Practice Address - Zip Code:95324-9099
Practice Address - Country:US
Practice Address - Phone:209-656-8701
Practice Address - Fax:209-656-8704
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA140363Medicare UPIN
CACA161378Medicare UPIN
CACA161377Medicare UPIN