Look up the most recent NPI and PECOS records

Vivian Ramirez

Behavior Technician

Behavioral Health & Social Service Providers

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

PECOS Enrollment

Based on the most recent information from CMS, provider Vivian Ramirez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1639876311
Provider Type
Individual
Full Name
Ramirez, Vivian
Gender
Female

Sole Proprietor
No
Enumeration Date
2/13/2023
Last Updated
2/13/2023

Contact Information

Practice Location

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

(760) 805-8369

Unlisted Fax

Mailing Location

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Y3823444 California

Provider Identifiers

ID	Description	Issuer
ID 40000099881400	Description Other	Issuer MEDICAL IEHP California

Vivian Ramirez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ortega, Gabrielle L

Perez, Katelynn Leanne

Shannon, Erin

Hamilton, Amber I

Guzman, Valerie

Reynoso, Bryanna Marie

Reyes, Angel

Gamboa, Aylin Gisel

Lopez, Jazlyn Alexa

Cruz, Monica Janette