Ridge Primary Care Medical Associates Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A77753 Issued in CA

Legal business name

RIDGE PRIMARY CARE MEDICAL ASSOCIATES INC

Practice address

6585 Clark Rd
Suite 240
Paradise, CA 95969-3500

Phone

(530) 877-0762

Fax

(530) 876-2209

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Lee, MD

Title

Cfo

Phone

(530) 877-0762

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1760428338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 CLARK RD",
            "address_2": "SUITE 240",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693500",
            "telephone_number": "530-877-0762",
            "fax_number": "530-876-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 CLARK RD",
            "address_2": "SUITE 240",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693500",
            "telephone_number": "530-877-0762",
            "fax_number": "530-876-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE PRIMARY CARE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-877-0762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A77753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "DA6834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santos Concepcion Reyes
• Richard P. Defrancisci M.D. Inc.
• Marc Alan Richmond
• Ridge Eye Care
• Ridge Physical Therapy&Wellness Center
• Tammy Sue Riotto
• Rite Aid
• Norman Gene Ritnour Jr.
• Robert Di Pietro OD Optometric Corporation
• Wilna Marie Roberts, NMW765, RN354667

• Family Medicine Physician in Paradise, CA
• Providers in Paradise, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.