Provider Demographics
NPI:1295119337
Name:RAMIREZ, JENIFFER J (CPT (CERTIFIED PHLEB)
Entity type:Individual
Prefix:MS
First Name:JENIFFER
Middle Name:J
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:CPT (CERTIFIED PHLEB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 CALIFORNIA AVENUE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309
Mailing Address - Country:US
Mailing Address - Phone:661-716-7118
Mailing Address - Fax:661-716-9149
Practice Address - Street 1:4550 CALIFORNIA AVENUE
Practice Address - Street 2:SUITE 500
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309
Practice Address - Country:US
Practice Address - Phone:661-716-7118
Practice Address - Fax:661-716-9149
Is Sole Proprietor?:No
Enumeration Date:2015-07-18
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
CACPT71995246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACPT71995OtherCERTFIED PHLEBOTOMY TECH