Healthcare Provider Details

I. General information

NPI: 1821555970
Provider Name (Legal Business Name): ADRIANNE RAMIREZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 CROWN CIR
LOMPOC CA
93436-3394
US

IV. Provider business mailing address

1303 CROWN CIR
LOMPOC CA
93436-3394
US

V. Phone/Fax

Practice location:
  • Phone: 714-351-3781
  • Fax:
Mailing address:
  • Phone: 714-351-3781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number68013
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: