DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RANDALL VINCENT RICKETTS D.O.

MEDICARE: RANDALL VINCENT RICKETTS 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
1207Q00000XFamily Medicine Physician20A4956CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100AX49560OTHERCAMEDICAL

General Provider Information

NPI Number : 1023192234
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDALL VINCENT RICKETTS D.O.
Provider Business Mailing Address
First Line : 26991 CROWN VALLEY PKWY
Second Line : # 100
City : MISSION VIEJO
State : CA
Zip : 92691-6528
Country : US
Telephone Number : 949-923-3277
Fax Number : 855-812-5865
Provider Business Practice Location Address
First Line : 26991 CROWN VALLEY PKWY
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-6528
Country : US
Telephone Number : 949-582-5430
Fax Number : 949-348-9513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 11/19/2018

Similar Medicare Providers

1255337713 — RONALD D RICHMOND M.D.
Practice Location Address:
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528
Practice Phone: 949-582-5430
Practice Fax: 949-348-9513
1386640746 — STEFANIE JILL FIGHTLIN DO
Practice Location Address:
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528
Practice Phone: 949-582-5430
Practice Fax: 949-348-9513
1063469229 — BRISTOL PARK MEDICAL GROUP, INC
Practice Location Address:
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528
Practice Phone: 949-582-2002
Practice Fax: 949-367-5200
1942211651 — GREGORY J JOY MD
Practice Location Address:
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528
Practice Phone: 949-582-5430
Practice Fax: 949-348-9513
1366544108 — MARTHA JEAN GRAY RD
Practice Location Address:
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528
Practice Phone: 949-582-2002
Practice Fax: 949-367-5200
1194866772 — MEMORIALCARE MEDICAL GROUP, INC.
Practice Location Address:
26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
92691-6528
Practice Phone: 949-582-2002
Practice Fax:

Directions to “ RANDALL VINCENT RICKETTS D.O.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.