OrganizationActive
Alpine Creek and Pine Valley Family Medicine Inc.
NPI 1295819639 · Neuromusculoskeletal Medicine & OMM Physician · Alpine, CA
Provider details
- NPI number
- 1295819639
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- James Ricketts, Ceo
- License
- 20A4384 (CA)
Practice location
1347 Tavern Rd Ste 9
Alpine, CA 91901-3897
Phone: (619) 445-0205
Fax: (619) 659-0205
Mailing address
1347 Tavern Rd Ste 9
Alpine, CA 91901-3897
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.