=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043087760
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SAGRARIO V RAMIREZ FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/04/2023
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 40 PENNY LN STE 207B
-----------------------------------------------------
City | WATSONVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95076-6057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-204-7787
-----------------------------------------------------
Fax | 831-480-1328
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1824 MONTE BELLA BLVD
-----------------------------------------------------
City | SALINAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93905-4926
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 831-540-5732
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 95027298
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------