Provider Demographics
NPI:1366330292
Name:RAMIREZ VACA, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:RAMIREZ VACA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 CASA SAN CARLOS LN APT A
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-4233
Mailing Address - Country:US
Mailing Address - Phone:805-253-6101
Mailing Address - Fax:
Practice Address - Street 1:1251 CASA SAN CARLOS LN APT A
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-4233
Practice Address - Country:US
Practice Address - Phone:805-253-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator