Individual provider Active NPI

Alfredo Ratniewski, M.D.

  • Internal Medicine Physician
  • Escondido, CA
National Provider Identifier
1689768459
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C42220 Issued in CA
Practice address
1151 E Washington Ave
Ste C
Escondido, CA 92025-2254
Phone
(760) 871-0606
Fax
(760) 871-3534
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C42220 CA Primary

Addresses

Primary practice location

1151 E Washington Ave
Ste C
Escondido, CA 92025-2254

Mailing address

1151 E Washington Ave
Ste C
Escondido, CA 92025-2254
Phone (760) 871-0606

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
I20040809000614 CA Practitioner - Internal Medicine 6305817891

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42220CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients
CML del Valle Medical Group PastSince Jul 1, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1689768459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E WASHINGTON AVE",
            "address_2": "STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252254",
            "telephone_number": "760-871-0606",
            "fax_number": "760-871-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E WASHINGTON AVE",
            "address_2": "STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252254",
            "telephone_number": "760-871-0606",
            "fax_number": "760-871-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATNIEWSKI",
        "first_name": "ALFREDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C42220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.