Provider Demographics
NPI:1588894331
Name:RAMIREZ, NESSER QUEJA (MD)
Entity type:Individual
Prefix:MR
First Name:NESSER
Middle Name:QUEJA
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 E ROSEVILLE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3303
Mailing Address - Country:US
Mailing Address - Phone:916-783-7109
Mailing Address - Fax:916-703-1981
Practice Address - Street 1:1620 E ROSEVILLE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3303
Practice Address - Country:US
Practice Address - Phone:916-783-7109
Practice Address - Fax:405-272-2898
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine