Basic Information
| Provider Information | |||||||||
| NPI: | 1477133668 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAMOS | ||||||||
| FirstName: | FATIMA | ||||||||
| MiddleName: | BICENIO | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 S ANAHEIM HILLS RD STE 206 | ||||||||
| Address2: | |||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928074759 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7142826934 | ||||||||
| FaxNumber: | 7142826935 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 S ANAHEIM HILLS RD STE 206 | ||||||||
| Address2: | |||||||||
| City: | ANAHEIM | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928074759 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7142826934 | ||||||||
| FaxNumber: | 7142826935 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2021 | ||||||||
| LastUpdateDate: | 06/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 95017105 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.