Active NPI
Ramona Oaks Family Medicine Inc
- General Practice Physician
- Ramona, CA
National Provider Identifier
1891967402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 20A4384
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.