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NPI Code Detail

MEDICARE: DR. JESUS I RAMIREZ MD, MSW

MEDICARE: DR. JESUS I RAMIREZ MD, MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianA71020CA
22086S0102XSurgical Critical Care PhysicianA71020CA
32086S0127XTrauma Surgery PhysicianA71020CA
42084P0800XPsychiatry PhysicianA71020CA

General Provider Information

NPI Number : 1275518821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESUS I RAMIREZ MD, MSW
Provider Business Mailing Address
First Line : 2915 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2133
Country : US
Telephone Number : 530-867-0695
Fax Number :
Provider Business Practice Location Address
First Line : 2915 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2133
Country : US
Telephone Number : 530-867-0695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 04/22/2025

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