Basic Information
Provider Information
NPI: 1538266424
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMIREZ
FirstName: ALEXANDER
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1481 MONTE AVE
Address2:  
City: PORTERVILLE
State: CA
PostalCode: 932574335
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 400 34TH ST
Address2:  
City: OAKLAND
State: CA
PostalCode: 946092816
CountryCode: US
TelephoneNumber: 5108696883
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2006
LastUpdateDate: 03/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA74102CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XA74102CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


Home