| Ritter Center | |
|
16 Ritter St San Rafael CA 94901-3323 | |
| (415) 457-8182 | |
| Not Available |
| Full Name | Ritter Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Ritter St, San Rafael, California |
| Authorized Official Name and Position | Cia T Byrnes (EXECUTIVE DIRECTOR/CMO) |
| Authorized Official Contact | 4154578182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ritter Center Po Box 3517 San Rafael CA 94912-3517 Ph: (415) 457-8182 | Ritter Center 16 Ritter St San Rafael CA 94901-3323 Ph: (415) 457-8182 |
| NPI Number | 1417370032 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 07/29/2016 |
| Medicare PECOS PAC ID | 8123074853 |
|---|---|
| Medicare Enrollment ID | O20050518000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417370032 | NPI | - | NPPES |
| CMM71061F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000522 (California) | Primary |
| Provider Name | Patricia M Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609903699 PECOS PAC ID: 1254491822 Enrollment ID: I20081201000180 |
| Provider Name | Shagufta Yasmeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922082429 PECOS PAC ID: 6406917434 Enrollment ID: I20081209000196 |
| Provider Name | Imme Karola Staeffler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558875351 PECOS PAC ID: 7214299072 Enrollment ID: I20180315001181 |
| Provider Name | Paul Tugulumize Kiruuta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124562939 PECOS PAC ID: 8426462318 Enrollment ID: I20210204002278 |
| Provider Name | Tess Barbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194248278 PECOS PAC ID: 8820351497 Enrollment ID: I20210326002233 |
| Provider Name | Rebecca Pfeifer-rosenblum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598379596 PECOS PAC ID: 4880098896 Enrollment ID: I20210812000172 |
| Provider Name | Saima Firdoos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740621101 PECOS PAC ID: 5991090433 Enrollment ID: I20220209000200 |
| Provider Name | Agustina Isabel Del Carril |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366055626 PECOS PAC ID: 7416332259 Enrollment ID: I20220915001130 |
| Provider Name | Alec Bradbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902557226 PECOS PAC ID: 0749659589 Enrollment ID: I20221216001956 |
| Provider Name | Lucas Michael Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528557378 PECOS PAC ID: 8527430164 Enrollment ID: I20230208002625 |
| Provider Name | Justin Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598132391 PECOS PAC ID: 5799015715 Enrollment ID: I20230306002052 |
| Provider Name | Emma Louise Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477263911 PECOS PAC ID: 9830563782 Enrollment ID: I20230316001694 |
| Provider Name | Alexander Threlfall |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1669538187 PECOS PAC ID: 6103113857 Enrollment ID: I20230616000446 |
| Provider Name | Francisco Siguenza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467881110 PECOS PAC ID: 8022477165 Enrollment ID: I20230706004211 |
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Sally Daganzo, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Northgate Dr Ste 500, San Rafael, CA 94903 Phone: 415-249-2580 Fax: 415-728-0375 | |
Sutter Pacific Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Las Gallinas Ave, #210, San Rafael, CA 94903 Phone: 415-479-7244 Fax: 415-479-0917 | |
Dr. Molly Koehler, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Northgate Dr Ste 250, San Rafael, CA 94903 Phone: 415-225-9615 Fax: 415-805-7243 | |
Prima Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr, #200b, San Rafael, CA 94903 Phone: 415-492-3333 Fax: 415-492-3425 | |
Marin Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3110 Kerner Blvd, San Rafael, CA 94901 Phone: 415-526-8500 Fax: 415-526-8553 |