MEDICARE: MS. JOHANA RAMIREZ CPSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	373H00000X	Day Training/Habilitation Specialist	CA
2	171M00000X	Case Manager/Care Coordinator
3	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1962874248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOHANA RAMIREZ CPSS

Provider Business Mailing Address
First Line	:	44550 VILLAGE CT STE 103
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3817
Country	:	US
Telephone Number	:	213-492-5524
Fax Number	:

Provider Business Practice Location Address
First Line	:	44550 VILLAGE CT STE 103
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3817
Country	:	US
Telephone Number	:	909-458-1587
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	10/07/2025

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