DR. HECTOR GUSTAVO RAMIREZ JR. M.D. NPI 1831282300
Family Medicine in Rancho Santa Margarita, CA

About DR. HECTOR GUSTAVO RAMIREZ JR. M.D.

Hector Ramirez is a primary care provider established in Rancho Santa Margarita, California and his medical specialization is Family Medicine with more than 38 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1985. The NPI number of Hector Ramirez is 1831282300 and was assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number BR0765719 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1831282300
Provider NameDR. HECTOR GUSTAVO RAMIREZ JR. M.D.
Location Address29833 SANTA MARGARITA PKWY SUITE 200 RANCHO SANTA MARGARITA, CA 92688
Location Phone(949) 858-8652
Mailing Address29833 SANTA MARGARITA PKWY SUITE 200 RANCHO SANTA MARGARITA, CA 92688
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year1985
Is Sole Proprietor?No
Enumeration Date10-02-2006
Last Update Date02-24-2012

A primary care provider (PCP) like Dr. Hector Gustavo Ramirez Jr. M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Hector Ramirez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Hector Ramirez is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with Memorialcare Saddleback Medical Center.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.BR0765719
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. HECTOR GUSTAVO RAMIREZ JR. M.D.
29833 SANTA MARGARITA PKWY
SUITE 200
RANCHO SANTA MARGARITA, CA
ZIP 92688
Phone: (949) 858-8652
Fax: (949) 858-0162

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Mailing Address

DR. HECTOR GUSTAVO RAMIREZ JR. M.D.
29833 SANTA MARGARITA PKWY
SUITE 200
RANCHO SANTA MARGARITA, CA
ZIP 92688
Phone: (949) 858-8652
Fax: (949) 858-0162


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID42105306
PECOS Enrollment IDI20120427000402
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 26Administration of influenza virus vaccine (HCPCS:G0008)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Hector Ramirez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEMORIALCARE SADDLEBACK MEDICAL CENTER24451 HEALTH CENTER DRIVE
LAGUNA HILLS, CA 92653
(949) 837-4500Acute Care Hospitals50603

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E48074MEDICARE UPIN (02)CA
W11487MEDICARE ID-TYPE UNSPECIFIED (04)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831282300
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
286148430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 4 + 8 + 4 + 3 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1831282300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851457485HECTOR G. RAMIREZ, M.D., INC.
Organization
Family Medicine29833 SANTA MARGARITA PKWY STE. 200
RANCHO SANTA MARGARITA, CA 92688
(949) 858-8652
1013091396 JAMES T WANG M.D.
Individual
Dermatology29833 SANTA MARGARITA PKWY 100
RANCHO SANTA MARGARITA, CA 92688
(949) 888-9288
1366645145JAMES T WANG MD INC
Organization
Dermatology29833 SANTA MARGARITA PKWY SUITE 100
RANCHO SANTA MARGARITA, CA 92688
(949) 888-9288

Frequently Asked Questions

What is Dr. Hector Ramirez JR. M.D. NPI number?

The NPI number assigned to Dr. Hector Ramirez JR. M.D. is 1831282300, registered as an "individual" on October 02, 2006

Where is Dr. Hector Ramirez JR. M.D. located?

The provider is located at 29833 Santa Margarita Pkwy Suite 200 Rancho Santa Margarita, Ca 92688 and the phone number is (949) 858-8652

Which is Dr. Hector Ramirez JR. M.D. specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. Hector Ramirez JR. M.D. have?

The provider has more than 38 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1985.

What insurance does Dr. Hector Ramirez JR. M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Hector Ramirez JR. M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Hector Ramirez JR. M.D.?

Medicare beneficiaries should expect a typical cost of $99.5 with an average copayment of $24.87 for new patient appointments. Established patients should expect a typical charge of $114.88 and an average copayment of 28.72. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Hector Ramirez JR. M.D.?

The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine.

Is Dr. Hector Ramirez JR. M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MEMORIALCARE SADDLEBACK MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Hector Ramirez JR. M.D. was last updated on October 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]