DR. SPENCER T RICKWA (NPI# 1700815081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700815081 |
| Entity Type | Individual |
| Full Name | DR. SPENCER T RICKWA |
| Credential | D.O. |
| Practice Address |
1637 3rd Ave Suite H Chula Vista CA 91911-5823 |
| Mailing Address |
528 Wisteria St Chula Vista CA 91911-5620 |
| Practice Telephone | 6192051360 |
| Mailing Telephone | 6193972795 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A8580 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1637 3RD AVE SUITE H |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902466428 | Jazmin Nuno | Health Educator | 1637 3rd Ave, Chula Vista, CA 91911-5823 | 2019-06-17 |
| 1316479603 | Ivan Horacio Rosado | Family Medicine | 1637 3rd Ave, Chula Vista, CA 91911-5823 | 2017-03-28 |
| 1376884528 | Eduardo Javier Salcedo | Nurse Practitioner | 1637 3rd Ave, Chula Vista, CA 91911-5823 | 2013-03-13 |
| 1407003973 | Sylvia Payton | Case Manager/Care Coordinator | 1637 3rd Ave, Chula Vista, CA 91911-5823 | 2008-08-26 |
| 1770594863 | Luzviminda L Pizarro | Pediatrics | 1637 3rd Ave, Chula Vista, CA 91910 | 2006-08-11 |
| 1841200482 | Susan De Jesus Quilalang | Registered Nurse | 1637 3rd Ave, Chula Vista, CA 91910 | 2006-08-08 |
| 1396754131 | John R Swartz | Family Medicine | 1637 3rd Ave, Chula Vista, CA 91910 | 2006-08-07 |
| 1407865348 | Lesley A Nurse | Obstetrics & Gynecology | 1637 3rd Ave, Chula Vista, CA 91910 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| 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 |
|---|---|---|---|---|
| 1588197826 | Miguel Alvarez-estrada | Family Medicine | 480 Fourth Ave Ste 403, Chula Vista, CA 91910-4413 | 2017-04-04 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| 1285088013 | Yelennia Palacios | Family Medicine | 480 4th Ave Ste 403, Chula Vista, CA 91910-4413 | 2016-04-18 |
| 1437554979 | Martin Kabongo, M.d., Apc | Family Medicine | 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910-7865 | 2014-10-27 |
| 1396167813 | Mohammed K Elsayed A Proffesional Corporation | Family Medicine | 330 Oxford St Ste 106, Chula Vista, CA 91911-3118 | 2014-01-17 |
| 1760702237 | Jean Rizkallah, Md, Inc | Family Medicine | 450 Fourth Ave., Ste 408, Chula Vista, CA 91910-4430 | 2010-06-08 |
| 1174841936 | Jean Rizkallah, Md | Family Medicine | 450 Fouth Ave, Ste 407, Chula Vista, CA 91910-0000 | 2010-05-04 |
| 1033341409 | Andrew J Pasetti | Family Medicine | 644 Naples Street, Toc Chula Vista, Chula Vista, CA 91911 | 2009-08-18 |
| 1831328616 | Marina Udowenko | Family Medicine | 450 Fourth Ave Ste 408, Chula Vista, CA 91910-4430 | 2009-07-14 |
| 1982840518 | Rebecca Smith, Md, Medical Corporation | Family Medicine | 272 Salinas Dr Unit 165, Chula Vista, CA 91914-0444 | 2009-01-03 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on DR. SPENCER T RICKWA.
| 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.