Healthcare Provider Details

I. General information

NPI: 1932992369
Provider Name (Legal Business Name): JOSUE MEJIA RAMIREZ NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 E GILLETT ST
EL CENTRO CA
92243-9702
US

IV. Provider business mailing address

239 E GILLETT ST
EL CENTRO CA
92243-9702
US

V. Phone/Fax

Practice location:
  • Phone: 442-231-9003
  • Fax:
Mailing address:
  • Phone: 442-231-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95035228
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: