Healthcare Provider Details

I. General information

NPI: 1326963000
Provider Name (Legal Business Name): JONATHAN ALEXANDER RAMOS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 SACRAMENTO ST APT 6
SAN FRANCISCO CA
94115-2143
US

IV. Provider business mailing address

2707 SACRAMENTO ST APT 6
SAN FRANCISCO CA
94115-2143
US

V. Phone/Fax

Practice location:
  • Phone: 510-332-0207
  • Fax: 415-863-7343
Mailing address:
  • Phone: 510-332-0207
  • Fax: 415-863-7343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-SDYPAT
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: