Randall Vincent Ricketts in Mission Viejo - Family Medicine
Randall Vincent Ricketts - NPI 1023192234
Randall Vincent Ricketts is a Family Medicine in Mission Viejo, California. Randall Vincent Ricketts practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Randall Vincent Ricketts is 1023192234. The last update date is 2018-11-19.
Randall Vincent Ricketts's current location address is 26991 Crown Valley Pkwy, Mission Viejo, California. You can contact this provider via phone number 9499233277 and fax number 8558125865. The mailing address for Randall Vincent Ricketts is 26991 Crown Valley Pkwy, Mission Viejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Vincent Ricketts |
|---|---|
| Address | 26991 Crown Valley Pkwy, Mission Viejo, California |
| Phone Number | 9499233277 |
| Fax Number | 8558125865 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1023192234 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2018-11-19 |
Provider Mailing Address Detail
| Address | 26991 Crown Valley Pkwy |
|---|---|
| City | Mission Viejo |
| State | California (CA) |
| Post Code | 926916528 |
| Phone Number | 9499233277 |
| Fax Number | 8558125865 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20A4956 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00AX49560 | CA | MEDICAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall Vincent Ricketts by the Centers for Medicare & Medicaid Services?
The Randall Vincent Ricketts has been issued the NPI (National Provider Identifier) 1023192234, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randall Vincent Ricketts's physical address?
The Randall Vincent Ricketts is physically located at 26991 Crown Valley Pkwy, in the city of Mission Viejo, CA, with the postal code 926916528.
What is Randall Vincent Ricketts's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randall Vincent Ricketts is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When did the Randall Vincent Ricketts receive its 1023192234?
The Randall Vincent Ricketts was issued its 1023192234 on 2006-10-24, which is the date when the organization was assigned this unique identifier.
When was the Randall Vincent Ricketts's information last updated?
The Randall Vincent Ricketts's information was last updated on 2018-11-19.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC