Alpine Creek And Pine Valley Family Medicine Inc.

LBN: Alpine Creek And Pine Valley Family Medicine Inc.
Alpine Creek And Pine Valley Family Medicine Inc. is an health care organization with primary practice located at 1347 Tavern Rd Ste 9 , Alpine CA 91901-3897. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as the primary health care specialty. Alpine Creek And Pine Valley Family Medicine Inc. can be contacted via phone (619) 445-0205, or through Ricketts, James M via phone (619) 445-0204.

Contact Information

Primary practice address
1347 Tavern Rd Ste 9 Alpine CA 91901-3897
Phone: (619) 445-0205
Fax: (619) 659-0205
Website:
Map and Directions
Authorized official contact:
Name: Ricketts, James M Doctor of Osteopathy (DO)
Phone: (619) 445-0204

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 20A4384 California

Profile Details

NPI number 1295819639
LBN Legal business name Alpine Creek And Pine Valley Family Medicine Inc.
DBA Doing business as
Authorized official Ricketts, James M Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295819639 NPPES
California Other ZZZ48102Z BLUE SHIELD
California MEDICAID 00AX43840 BLUE SHIELD
California MEDICAID 00AX62390 BLUE SHIELD

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