Provider Demographics
NPI:1295197275
Name:RAMIREZ, JOSE MARTIN
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:MARTIN
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 NILES ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-4937
Mailing Address - Country:US
Mailing Address - Phone:661-852-6538
Mailing Address - Fax:661-852-6548
Practice Address - Street 1:7900 NILES ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4937
Practice Address - Country:US
Practice Address - Phone:661-852-6538
Practice Address - Fax:661-852-6548
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF101759101YM0800X
CALMFT116754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health