MARY LOU RITTER (NPI# 1316042427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316042427 |
| Entity Type | Individual |
| Full Name | MARY LOU RITTER |
| Credential | PAC |
| Practice Address |
751 S Bascom Ave Pediatrics Dept San Jose CA 95128-2604 |
| Mailing Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Practice Telephone | 4088856460 |
| Mailing Telephone | 4088855000 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
RN12022 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0PA12022 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356516157 | Mary Ayleene Ritter | Nurse Practitioner | 6473 Highway 44, Ste 103, Gonzales, LA 70737-8179 | 2008-04-23 |
| 1972796365 | Mary C Ritter | Counselor | 102 W Washington St Ste 114, Marquette, MI 49855-4350 | 2007-08-20 |
| 1427504604 | Mary Ritter | Nurse Practitioner | 5533 Mahoning Ave Ste D, Austintown, OH 44515-2366 | 2016-08-29 |
| 1285024273 | Mary Ritter | Occupational Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2015-01-28 |
| 1972731404 | Mary Elizabeth Ritter | Pediatrics | 9201 Big Horn Blvd, Elk Grove, CA 95624 | 2009-06-23 |
| 1912122342 | Mary Ritter | Dentist | 4702 Main St, Bridgeport, CT 06606-1823 | 2007-04-13 |
| 1689614190 | Mary K Ritter | Internal Medicine | 55 Fruit St, Blake 260, Boston, MA 02114-2621 | 2006-06-07 |
| Street Address |
751 S BASCOM AVE PEDIATRICS DEPT |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743217 | Ellen Perez Travis | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2005-07-13 |
| 1235738691 | Alina Bogdanovich | Registered Nurse | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-10-17 |
| 1255946380 | Kimberly Red Soria | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-09-15 |
| 1568072403 | Emily Win Hou | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-05 |
| 1649880063 | Katherine Ann Trescott | Speech-Language Pathologist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-01 |
| 1992320386 | Gino Dizon Legaspi | Physical Therapy Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-11 |
| 1215552732 | Emily Louise Masad | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-06-10 |
| 1790300341 | Laura Muzzatti | Physical Therapist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-09 |
| 1679195085 | Raymond Chao | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-05-08 |
| 1407476765 | Yoo Jung Kim | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254674 | Nina Ya Lai | Physician Assistant | 398 Boynton Ave, Apt 11, San Jose, CA 95117-1258 | 2017-02-16 |
| 1285017335 | John Araujo | Physician Assistant | 1375 Blossom Hill Rd Ste 49, San Jose, CA 95118-3806 | 2015-07-08 |
| 1861834400 | Diana Ngoc Nguyen | Physician Assistant | 667 N White Rd, San Jose, CA 95127-1447 | 2013-07-24 |
| 1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
| 1902106982 | Metamorph, Inc. | Physician Assistant | 7725 Kilmarnok Dr, San Jose, CA 95135-2140 | 2010-10-25 |
| 1184671901 | Bina P Raghavan | Physician Assistant | 6260 Grand Oak Way, San Jose, CA 95135-2203 | 2006-05-27 |
| 1366064800 | Naomi Ayodele | Physician Assistant | 1691 The Alameda, San Jose, CA 95126-2203 | 2020-05-07 |
| 1982113007 | Melissa Nastacio | Physician Assistant | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-09-20 |
| 1780038091 | Whitney Aislinn Porter | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2016-04-22 |
| 1902264021 | Briana Gonzalez | Physician Assistant | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2016-02-03 |
| Find all providers in SAN JOSE | ||||
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| 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.