Ricky A Oldenburg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16971 Issued in CA

Practice address

36243 Inland Valley Drive
Suite 180
Wildomar, CA 92595

Phone

(951) 600-0110

Fax

(951) 600-4645

NPI assigned

Oct 25, 2006

Last updated

Mar 30, 2012By 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 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

99.17 of 100Reported as group

Quality

87.26

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Alliance Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Hemet, CA
  • NPI 1265700157
  Medicare reassignment
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Temecula Valley Emergency Medical Associates

  • Specialist
  • Murrieta, CA
  • NPI 1407845092
  Medicare reassignment
• Cep America-California

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1104696806
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Inland Urgent Care a Medical Corporation

  dba Inland Urgent Care Corona

  • Urgent Care Clinic/Center
  • Corona, CA
  • NPI 1013369321
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1598849374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27168 NEWPORT RD",
            "address_2": "SUITE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847383",
            "telephone_number": "951-246-3033",
            "fax_number": "951-246-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DRIVE",
            "address_2": "SUITE 180",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "92595",
            "telephone_number": "951-600-0110",
            "fax_number": "951-600-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDENBURG",
        "first_name": "RICKY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole O'Neal, RBT
• Andrew Obando
• Guadalupe Ocampo
• Angelica Carpio Ochoa, RBT
• Elysia Ojeda
• Pauline L Olvera
• Omar Garcia D C a Chiropractic Corporation
• Order Our Step
• Daniela Orozco Flores
• Jimena Orozco

• Physician Assistant in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.