Active NPI
Ritta M Gharib, P.A.-C
- Physician Assistant
- San Diego, CA
National Provider Identifier
1336284074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15121
- Practice address
- 3811 Valley Centre Dr
Mail Drop S99
San Diego, CA 92130-1111 - Phone
- (858) 764-3280
- Fax
- (858) 764-3299
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15121 | CA | Primary |
Addresses
Primary practice location
3811 Valley Centre Dr
Mail Drop S99
San Diego, CA 92130-1111
Mailing address
File# 54433
Suite #409
Los Angeles, CA 90074-4433
Phone (858) 784-5888
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15121 | CA | MD | Physical Therapist |
| PA15121 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients | |
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Scripps Proton Therapy Center
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
-
dba Scripps Clinic
- Internal Medicine Physician
- La Jolla, CA
- NPI 1538297726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1336284074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE# 54433",
"address_2": "SUITE #409",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744433",
"telephone_number": "858-784-5888",
"fax_number": "858-784-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 VALLEY CENTRE DR",
"address_2": "MAIL DROP S99",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921301111",
"telephone_number": "858-764-3280",
"fax_number": "858-764-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHARIB",
"first_name": "RITTA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.