Healthcare Provider Details

I. General information

NPI: 1497392807
Provider Name (Legal Business Name): ADRIANA DEANDA RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 ADELINE ST STE 270
BERKELEY CA
94703-2580
US

IV. Provider business mailing address

2275 ARLINGTON DR
CASTRO VALLEY CA
94578-1132
US

V. Phone/Fax

Practice location:
  • Phone: 510-204-5600
  • Fax: 510-679-6566
Mailing address:
  • Phone: 510-317-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW236319
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number95198643
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: