MEDICARE: DR. TEDDE MARIE RINKER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	20A4742	CA
2	2084P0804X	Child & Adolescent Psychiatry Physician	20A4742	CA
3	208D00000X	General Practice Physician	20A4742	CA

General Provider Information

NPI Number	:	1306841176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEDDE MARIE RINKER D.O.

Provider Business Mailing Address
First Line	:	1620 UNION AVE
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94061-2718
Country	:	US
Telephone Number	:	650-533-3203
Fax Number	:	650-369-6963

Provider Business Practice Location Address
First Line	:	5050 EL CAMINO REAL
Second Line	:	SUITE 110
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1530
Country	:	US
Telephone Number	:	650-533-3203
Fax Number	:	650-369-6963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/22/2026

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