Individual provider Active NPI

Jennifer V Ratcliffe, M.D., PH.D

  • Reproductive Endocrinology Physician
  • Santa Rosa, CA
National Provider Identifier
1043261027
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A62171 Issued in CA
Practice address
4690 Hoen Ave
Santa Rosa, CA 95405-7823
Phone
(707) 575-5831
Fax
(707) 575-4379
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X A62171 CA Primary

Addresses

Primary practice location

4690 Hoen Ave
Santa Rosa, CA 95405-7823

Mailing address

4690 Hoen Ave
Santa Rosa, CA 95405-7823
Phone (707) 575-5831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A62171CAMDReproductive Endocrinology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1043261027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057823",
            "telephone_number": "707-575-5831",
            "fax_number": "707-575-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057823",
            "telephone_number": "707-575-5831",
            "fax_number": "707-575-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFFE",
        "first_name": "JENNIFER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A62171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.