Provider Demographics
NPI:1285646760
Name:RAMIREZ, JOSE MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MANUEL
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:7600 HOSPITAL DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5406
Mailing Address - Country:US
Mailing Address - Phone:916-689-6160
Mailing Address - Fax:916-689-3711
Practice Address - Street 1:7600 HOSPITAL DR
Practice Address - Street 2:SUITE H
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5406
Practice Address - Country:US
Practice Address - Phone:916-689-6160
Practice Address - Fax:916-689-3711
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA462810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2447324OtherMEDI-CAL PIN
CAE72059Medicare UPIN