Provider Demographics
NPI:1205853850
Name:LERAMO, YVONNE I (MD)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:I
Last Name:LERAMO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 OMEARA CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-2141
Mailing Address - Country:US
Mailing Address - Phone:661-664-4640
Mailing Address - Fax:661-664-4640
Practice Address - Street 1:869 N. CHERRY STREET
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2207
Practice Address - Country:US
Practice Address - Phone:559-688-0821
Practice Address - Fax:661-664-4640
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64161207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A641610Medicaid
CAZZZ15999ZMedicare PIN
CAZZZ21365ZMedicare PIN
CAZZZ21366ZMedicare PIN
CAH72223Medicare UPIN
CACA187183Medicare PIN
CA00A641610Medicaid
CA00A641610Medicare PIN
CAZZZ15988ZMedicare PIN
CA050090261Medicare PIN
CAP01680451Medicare PIN
CACD4582Medicare PIN
CAZZZ34009ZMedicare PIN