Healthcare Provider Details

I. General information

NPI: 1881540318
Provider Name (Legal Business Name): DANIEL MICHAEL RAMIREZ FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 C ST
PATTERSON CA
95363-2701
US

IV. Provider business mailing address

200 C ST
PATTERSON CA
95363-2701
US

V. Phone/Fax

Practice location:
  • Phone: 209-722-4842
  • Fax:
Mailing address:
  • Phone: 209-722-4842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: