James M Ricketts in Alpine - Family Medicine
James M Ricketts - NPI 1932218047
James M Ricketts is a Family Medicine in Alpine, California. James M Ricketts practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for James M Ricketts is 1932218047. The last update date is 2007-07-08.
James M Ricketts's current location address is 1347 Tavern Rd, Alpine, California. You can contact this provider via phone number 6194450204 and fax number 6196590205. The mailing address for James M Ricketts is 1347 Tavern Rd, Alpine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James M Ricketts |
|---|---|
| Address | 1347 Tavern Rd, Alpine, California |
| Phone Number | 6194450204 |
| Fax Number | 6196590205 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1932218047 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1347 Tavern Rd |
|---|---|
| City | Alpine |
| State | California (CA) |
| Post Code | 919013853 |
| Phone Number | 6194450204 |
| Fax Number | 6196590205 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20A4384 |
|
Definition: Family 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 i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ48102Z | CA | BLUE SHIELD | |
| 00AX43840 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to James M Ricketts by the Centers for Medicare & Medicaid Services?
The James M Ricketts has been issued the NPI (National Provider Identifier) 1932218047. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where James M Ricketts's facilities are geographically located?
The facilities of James M Ricketts are physically situated at the following location: 1347 Tavern Rd, Alpine, CA, 919013853.
What is James M Ricketts's specialized field of practice, and what is the corresponding taxonomy classification code?
The James M Ricketts's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932218047 to James M Ricketts?
The Centers for Medicare & Medicaid Services originally issued the 1932218047 to James M Ricketts on 2006-08-30.
As of what date were the details pertaining to James M Ricketts last refreshed?
The information related to the James M Ricketts, including its address, specialty, and other relevant details, was last updated on 2007-07-08.