| Rippl Care Pc Of California, Inc. | |
|
901 W Civic Center Dr Fl 2 Office 4029 Santa Ana CA 92703-2352 | |
| (206) 647-1007 | |
| Not Available |
| Full Name | Rippl Care Pc Of California, Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 901 W Civic Center Dr Fl 2, Santa Ana, California |
| Authorized Official Name and Position | Jason Van Reken (MANAGER) |
| Authorized Official Contact | 7753389279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rippl Care Pc Of California, Inc. Po Box 352 Mercer Island WA 98040-0352 Ph: (206) 647-1007 | Rippl Care Pc Of California, Inc. 901 W Civic Center Dr Fl 2 Office 4029 Santa Ana CA 92703-2352 Ph: (206) 647-1007 |
| NPI Number | 1578334215 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 7810335825 |
|---|---|
| Medicare Enrollment ID | O20240409003699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578334215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Julie Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639287865 PECOS PAC ID: 8527161819 Enrollment ID: I20221118000235 |
| Provider Name | Molly Torvik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003291584 PECOS PAC ID: 0446514905 Enrollment ID: I20240508003185 |
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