Provider Demographics
NPI:1962465104
Name:RAMOS, DAVID F (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3105 CEDAR RAVINE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-6561
Mailing Address - Country:US
Mailing Address - Phone:530-295-1900
Mailing Address - Fax:530-295-9400
Practice Address - Street 1:3105 CEDAR RAVINE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-6561
Practice Address - Country:US
Practice Address - Phone:530-295-1900
Practice Address - Fax:530-295-9400
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2008-03-05
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Provider Licenses
StateLicense IDTaxonomies
CAG079350207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G793501Medicaid
CA00G793501Medicaid
CA00G793500Medicare PIN