Patricia Jane Ebbecke, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

280926 Issued in CA

Practice address

12675 Hesperia Rd
Victorville, CA 92395-5878

Phone

(760) 241-8063

Fax

(760) 241-5037

NPI assigned

Dec 14, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chase Dennis Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Rosa, CA
  • NPI 1033152350
  NPD (past)
• Community Health Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1255379210
  NPD (past)
• Premier Emergency Physicians of California Medical Group PC

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1225289135
  NPD (past)
• Rainbow Basin Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1811148729
  NPD (past)
• Victor Valley Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Victorville, CA
  • NPI 1417224007
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1669534970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14185 HOPI RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075716",
            "telephone_number": "760-247-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12675 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955878",
            "telephone_number": "760-241-8063",
            "fax_number": "760-241-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBECKE",
        "first_name": "PATRICIA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "280926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Diane Earl
• Charmaine Elizabeth Earle, MD
• Kaila M Eastburn
• Ronni Marie Eastburn
• Eastlake Transport LLC
• Alexyss Echeverria
• Valerie Samantha Echeverria, RADT
• Ashley Eddy
• Edgard M Vera MD Inc
• Sharde Edgerson

• Adult Health Nurse Practitioner in Victorville, CA
• Providers in Victorville, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.