Individual provider Active NPI

Angela Renee Ritz, MD

  • Family Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1992853931
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82577 Issued in CA
Practice address
360 Dardanelli LN
Suite 2E
Los Gatos, CA 95032-1421
Phone
(408) 378-1101
Fax
(408) 378-1039
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A82577 CA Primary

Addresses

Primary practice location

360 Dardanelli LN
Suite 2E
Los Gatos, CA 95032-1421

Mailing address

360 Dardanelli LN
Suite 2E
Los Gatos, CA 95032-1421
Phone (408) 378-1101

Other identifiers 1

IdentifierTypeStateIssuer
00A825770MedicaidCA

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
I20050919001079 CA Practitioner - Family Practice 0042244105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angela R Ritz MD PC Inc Family Medicine CurrentSince Jan 1, 2013 Accepting new patients

Locations

360 Dardanelli Ln
Ste 2E
Los Gatos, CA 95032
Phone (408) 378-1101

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1992853931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 DARDANELLI LN",
            "address_2": "SUITE 2E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321421",
            "telephone_number": "408-378-1101",
            "fax_number": "408-378-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DARDANELLI LN",
            "address_2": "SUITE 2E",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321421",
            "telephone_number": "408-378-1101",
            "fax_number": "408-378-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZ",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A825770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.