Organization Active NPI

Jeffrey S Rinkoff Prof Corp

Doing business as Retina Care Center

  • Ophthalmology Physician
  • Mount Shasta, CA
National Provider Identifier
1447590633
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C50167 Issued in CA
Legal business name
JEFFREY S RINKOFF PROF CORP
Doing business as
Retina Care Center
Practice address
110 Chestnut St
Mount Shasta, CA 96067-2209
Phone
(541) 842-2020
Fax
(541) 842-2022
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Ashley Longan
Title
Billing Supervisor
Phone
(541) 842-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X C50167 CA Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X A116614 CA

Addresses

Primary practice location

110 Chestnut St
Mount Shasta, CA 96067-2209

Mailing address

2640 E Barnett Rd # 232
Medford, OR 97504-4301
Phone (541) 842-2020

Other names 1

  • Retina Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

2640 E Barnett Rd
#232
Medford, OR 97504

2640 E Barnett Rd
#E232
Medford, OR 97504

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1447590633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E BARNETT RD # 232",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044301",
            "telephone_number": "541-842-2020",
            "fax_number": "541-842-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHESTNUT ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672209",
            "telephone_number": "541-842-2020",
            "fax_number": "541-842-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S RINKOFF PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "LONGAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "541-842-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C50167",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A116614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Shasta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.