Healthcare Provider Details

I. General information

NPI: 1538274816
Provider Name (Legal Business Name): PEDRO JAVIER RAMIREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WOODLAND RD
SAINT HELENA CA
94574-9554
US

IV. Provider business mailing address

1001 ADAMS ST STE 102
SAINT HELENA CA
94574-1180
US

V. Phone/Fax

Practice location:
  • Phone: 707-967-5721
  • Fax: 707-967-5722
Mailing address:
  • Phone: 707-968-2863
  • Fax: 707-963-9185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD224173
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberA105291
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: