PETER ROSS RATKOVICH


Address: 4104 Delta St, San Diego, CA 92113-4113
Phone: 6192640141

PETER ROSS RATKOVICH (NPI# 1063986529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063986529
Entity Type Individual
Full Name PETER ROSS RATKOVICH
Credential CADC-CAS
Practice Address 4104 Delta St
San Diego
CA 92113-4113
Practice Telephone 6192640141
Practice Fax Number 6192647274
Mailing Telephone 6192640141
Mailing Fax Number 6192647274
Enumeration Date 2019-01-17
Last Update Date 2019-01-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
370012AN CA Behavioral Health & Social Service Providers

Office Location

Street Address 4104 DELTA ST
City SAN DIEGO
State CA
Zip Code 92113-4113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013031541 Traditin One, Inc Substance Abuse Rehabilitation Facility 4104 Delta St, San Diego, CA 92113-4113 2007-03-19
1740829233 James Richard Gamble Sr. Counselor 4104 Delta St, San Diego, CA 92113-4113 2019-12-31
1376184408 Patrick Wallace Counselor 4104 Delta St, San Diego, CA 92113-4113 2019-09-30
1538719174 Delores Von Mirbach Counselor 4104 Delta St, San Diego, CA 92113-4113 2019-09-16
1255985917 Ralph Anthony Ramirez Counselor 4104 Delta St, San Diego, CA 92113-4113 2019-07-30
1083173629 Melissa Bouchard Peer Specialist 4104 Delta St, San Diego, CA 92113-4113 2019-03-13
1134683337 Cassandra Elizabeth Arnold Counselor 4104 Delta St, San Diego, CA 92113-4113 2019-01-22
1679037873 Albert Lee Cherry Jr. Counselor 4104 Delta St, San Diego, CA 92113-4113 2019-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609305986 Cynthia Alba Nutritionist 1809 National Ave., San Diego, CA 92113 2017-06-08
1184153983 Jessy Milligan Counselor 4125 Alpha Street, San Diego, CA 92113 2017-06-06
1730557406 Deborah Mary Malloy Counselor Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 2015-09-10
1104220912 Imhotep Mustaqeem Counselor 3336 Steel Street, San Diego, CA 92113 2014-10-22
1831507300 Olga Vasileva Student in an Organized Health Care Education/Training Program 2865 Logan Avenue, San Diego, CA 92113 2014-07-29
1477961951 Angelica Quezada Counselor 32510 Newton Avenue B103, San Diego, CA 92113 2014-07-28
1477986750 Anita Pena Licensed Vocational Nurse 604 Olivewood Ter, San Diego, CA 92113 2013-08-09
1134459399 Susana Cabada Technician, Other 4031 Marine View Ave., San Diego, CA 92113 2010-01-11
1669595609 Maria Emilia Siller Registered Nurse 3177a Oceanview Blvd, San Diego, AL 92113 2007-04-06
1710009691 Maria Engracia Siordia Licensed Vocational Nurse 3177a Ocean View Blvd, San Diego, CA 92113 2007-04-04
Find all providers in zip 92113

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910901 Eduardo Alberto Perez Counselor 8829 Dewsbury Ave, San Diego, CA 92126-2428 2020-10-21
1477166734 Laura Aida Andrade Counselor 4125 Wabash Ave, San Diego, CA 92104-2124 2020-08-26
1679113096 David Salvador Avalos Counselor 3642 Rosa Linda St, San Diego, CA 92154-3653 2020-01-14
1023651692 Robert Joseph Kassel Counselor 6551 Seaman St, San Diego, CA 92120-2629 2019-10-25
1609437979 Pamela Lynette Hill Counselor 3960 W Point Loma Blvd, San Diego, CA 92110-5643 2019-06-26
1154989838 Victoria Philips Counselor 4055 58th St Apt 10, San Diego, CA 92115-6209 2019-05-29
1740847375 Jessica Cristina Williams Counselor 1775 Elm Ave, San Diego, CA 92154-1104 2019-05-20
1659934164 Virginia Denise Mcswain Counselor 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 2019-04-19
1386107324 Connie Padera Counselor 3148 Midway Dr # 113, San Diego, CA 92110-4539 2019-04-08
1154891067 Vincent Garside Counselor 2516 A Sreet, San Diego, CA 92102-9210 2018-12-04
Find all providers in SAN DIEGO

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92113

Improve Information

Please comment or provide details below to improve the information on PETER ROSS RATKOVICH.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches