Organization Active NPI

Ramona Oaks Family Medicine Inc

  • General Practice Physician
  • Ramona, CA
National Provider Identifier
1891967402
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A4384 Issued in CA
Legal business name
RAMONA OAKS FAMILY MEDICINE INC
Practice address
23678 San Vicente Rd
Ramona, CA 92065-4245
Phone
(760) 789-8812
Fax
(760) 788-9862
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
James M Ricketts, D.O.
Title
Ceo
Phone
(760) 789-8812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 20A4384 CA Primary

Addresses

Primary practice location

23678 San Vicente Rd
Ramona, CA 92065-4245

Mailing address

23678 San Vicente Rd
Ramona, CA 92065-4245
Phone (760) 789-8812

National Provider Directory

National Provider Directory

Locations

23678 San Vicente Rd
Ramona, CA 92065
Phone (760) 735-0983

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1891967402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23678 SAN VICENTE RD",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654245",
            "telephone_number": "760-789-8812",
            "fax_number": "760-788-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23678 SAN VICENTE RD",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654245",
            "telephone_number": "760-789-8812",
            "fax_number": "760-788-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMONA OAKS FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-789-8812",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.