RANDALL VINCENT RICKETTS D.O. NPI 1023192234

NPI Information

  • NPI: 1023192234
  • Provider Name: RANDALL VINCENT RICKETTS, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 26991 CROWN VALLEY PKWY
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (949) 582-5430

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NPI Details

Randall Vincent Ricketts, D.O. is a family medicine in Mission Viejo, CA. The provider is 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. Randall Vincent Ricketts, D.O. NPI is 1023192234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26991 CROWN VALLEY PKWY
MISSION VIEJO, CA
ZIP 92691-528
Phone: (949) 582-5430
Fax: (949) 348-9513

The enumeration date for this NPI number is 10/24/2006 and was last updated on 11/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine20A4956CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100AX49560OTHERCALIFORNIAMEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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