Individual provider Active NPI

Rebecca Ferrini, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Santee, CA
National Provider Identifier
1598842551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
G075063 Issued in CA
Practice address
9065 Edgemoor Dr
Santee, CA 92071-3037
Phone
(619) 956-2852
Fax
(619) 956-2873
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X G075063 CA Primary

Addresses

Primary practice location

9065 Edgemoor Dr
Santee, CA 92071-3037

Mailing address

10344 Spruce Grove Ave
San Diego, CA 92131-2217
Phone (858) 586-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000643 CA Practitioner - General PracticePractitioner - Hospice/Palliative Care 6002079225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75063CAMDPharmacist
G075063CAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego Current Accepting new patients
County of San Diego CurrentSince Apr 4, 2012 Accepting new patients
County of San Diego CurrentSince Apr 4, 2012 Accepting new patients

Locations

655 Park Center Dr
Santee, CA 92071
Phone (619) 596-5500

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Edgemoor Hospital DpsnfSantee, CA, CCN 055008 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Jul 1, 2009
Jul 1, 2009
Jul 1, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598842551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10344 SPRUCE GROVE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312217",
            "telephone_number": "858-586-0515",
            "fax_number": "619-956-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 EDGEMOOR DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713037",
            "telephone_number": "619-956-2852",
            "fax_number": "619-956-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRINI",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "G075063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.