RANDALL VINCENT RICKETTS (NPI# 1023192234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023192234 |
| Entity Type | Individual |
| Full Name | RANDALL VINCENT RICKETTS |
| Credential | D.O. |
| Practice Address |
26991 Crown Valley Pkwy Mission Viejo CA 92691-6528 |
| Mailing Address |
26991 Crown Valley Pkwy # 100 Mission Viejo CA 92691-6528 |
| Practice Telephone | 9495825430 |
| Practice Fax Number | 9493489513 |
| Mailing Telephone | 9499233277 |
| Mailing Fax Number | 8558125865 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A4956 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 00AX49560 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083823611 | Randall R Ricketts | Optometrist | 1953 N Clybourn Ave, Chicago, IL 60614-4945 | 2007-05-21 |
| Street Address |
26991 CROWN VALLEY PKWY |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337713 | Ronald D Richmond | Family Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2005-06-21 |
| 1912204611 | Memorialcare Medical Foundation | Physician Assistant | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2011-02-16 |
| 1144431917 | Michael F Mccormack | Emergency Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2007-05-24 |
| 1194866772 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2007-02-08 |
| 1366544108 | Martha Jean Gray | Dietitian, Registered | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2006-09-02 |
| 1942211651 | Gregory J Joy | Emergency Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2006-08-10 |
| 1063469229 | Bristol Park Medical Group, Inc | Internal Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2006-05-31 |
| 1730138678 | Mitchell Joseph Wainwright | Family Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2006-05-09 |
| 1386640746 | Stefanie Jill Fightlin | Family Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467944900 | Gertrude Chancellor | Family Medicine | 27211 Puerta Del Oro, Mission Viejo, CA 92691-4433 | 2018-05-31 |
| 1477814788 | Srinivasu Ammisetti Sunkara | Family Medicine | 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 | 2012-06-04 |
| 1457513178 | Michael Monge | Family Medicine | 26800 Crown Valley Pkwy Ste 275, Mission Viejo, CA 92691-6384 | 2008-06-25 |
| 1295908952 | Martin Jay Grubin | Family Medicine | 21411 Cythera, Mission Viejo, CA 92692-5913 | 2008-04-02 |
| 1356523120 | Total Wellness Medical Corp | Family Medicine | 27405 Puerta Real Ste 200, Mission Viejo, CA 92691-6314 | 2007-12-03 |
| 1255521878 | Medical Body Concepts, PC. | Family Medicine | 26712 Sierra Vis, Mission Viejo, CA 92692-3338 | 2007-07-30 |
| 1508082769 | Sonya Raymond Murray | Family Medicine | 28000 Marguerite Pkwy, Ssc-177, Mission Viejo, CA 92692-3635 | 2007-04-17 |
| 1366591695 | John Nghia Le | Family Medicine | 27800 Medical Center Rd Ste 204, Mission Viejo, CA 92691-6408 | 2007-01-09 |
| 1285792507 | Stephanie Shea Hawkins | Family Medicine | 25982 Pala Ste 180, Mission Viejo, CA 92691-6731 | 2006-12-06 |
| 1396812335 | Eva Monica Janiszewski | Family Medicine | 24896 Chrisanta Dr, Suite 130, Mission Viejo, CA 92691-4800 | 2006-11-28 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on RANDALL VINCENT RICKETTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.