Jeffrey Paul Rattet, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G32586 Issued in CA

Practice address

399 E Highland Ave
#524
San Bernardino, CA 92404-3878

Phone

(909) 886-6904

Fax

(909) 881-6424

NPI assigned

Feb 9, 2007

Last updated

Sep 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jeffrey P Rattet MD Inc

  • Dermatology Physician
  • San Bernardino, CA
  • NPI 1942299797
  NPD Authorized official
• Advanced Dermatology Thomas J Hoffmann MD Surgical&Medical Office Inc

  • Medical Specialty Clinic/Center
  • Apple Valley, CA
  • NPI 1578669545
  Medicare reassignment
• Community Hospital of San Bernardino

  dba Community Convalescent Center of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Dignity Health

  dba St. Bernardine Medical Center

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Riverside Medical Clinic, Inc

  dba Riverside Medical Clinic

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1730180415

  Dermatology

  NPD (past)
• San Bernardino Mountains Community Hospital District

  dba Mountains Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lake Arrowhead, CA
  • NPI 1073663662
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1427199785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29798 HAUN ROAD",
            "address_2": "SUITE 204",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "909-886-6904",
            "fax_number": "909-881-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "#524",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043878",
            "telephone_number": "909-886-6904",
            "fax_number": "909-881-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTET",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01053564A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G32586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G325860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Rathbun, PH.D.
• Daniel Alec Ratica
• Caitlyn Ratliff
• Marshall Rattely
• Phyllis Ann Rattely, LCSW
• Tracey Ravanzo
• Chasikya Rawls
• Jozalynne Michelle Ray, MS
• Dijon A Rayford
• Aamir Raza, M.D.

• Dermatology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.