MEDICARE: ANDREW BRUCE RIBNER MD

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	207Y00000X	Otolaryngology Physician	G38556	CA

General Provider Information

NPI Number	:	1467418582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW BRUCE RIBNER MD

Provider Business Mailing Address
First Line	:	PO BOX 255228
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95865-5228
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 PLUMAS BLVD STE 203
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-5005
Country	:	US
Telephone Number	:	530-749-3399
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	04/03/2025

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