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. |
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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 |
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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 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 05/10/2024 |
Certification Date | 05/10/2024 |
Medicare PECOS PAC ID | 7810335825 |
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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 | Patrice Mcneil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235244666 PECOS PAC ID: 9032381405 Enrollment ID: I20240501002291 |
Provider Name | Brandy Deweese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982032629 PECOS PAC ID: 6800026519 Enrollment ID: I20240501003324 |
Provider Name | Molly K Torvik |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003291584 PECOS PAC ID: 0446514905 Enrollment ID: I20240508003185 |
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