Healthcare Provider Details

I. General information

NPI: 1073176442
Provider Name (Legal Business Name): COURTNEY BARBARA RITCHIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY BARBARA LOUISE WALTON

II. Dates (important events)

Enumeration Date: 04/20/2019
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 K ST STE 200
SACRAMENTO CA
95816-5118
US

IV. Provider business mailing address

2801 K ST STE 200
SACRAMENTO CA
95816-5118
US

V. Phone/Fax

Practice location:
  • Phone: 916-779-1160
  • Fax: 916-779-1166
Mailing address:
  • Phone: 916-779-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberA183233
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberA183233
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: