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Deactivated NPI 1164554549 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald Mitchell Pritikin , MD

Pediatrics • Perris, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ronald Pritikin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 12, 2007
NPI Deactivation Date September 08, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Pritikin, MD was a registered Pediatrics practicing in Perris, CA. Throughout an active medical career spanning 10 years, Dr. Pritikin provided care at the practice location at 126 AVOCADO AVE until profile deactivation on 2017-09-08.

Practice Location & Contact Primary Location

Practice Address

126 Avocado Ave
Suite 104

Perris, CA 925712605

Telephone 9519438160
Fax 9519438101
Associated Practice Facility / Clinic
🏢 Rancho Physical Therapy, Inc. Facility NPI 1023086790

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Perris, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Perris, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G17902

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Donna Hefner , PA

Physician Assistant

NPI 1154512416

Physician Assistant

Dr. Dang Ngo , DPT

Physical Therapist

NPI 1184099186

Doctor of Physical Therapy

Brian Smith , MPT

Physical Therapist

NPI 1215014089

Master of Physical Therapy

NPI 1336239201

Doctor of Medicine (M.D.), JD

Diana Irving , MSW, LCSW

Social Worker - Clinical

NPI 1780790485

Master of Social Work, Licensed Clinical Social Worker

NPI 1831173129

Physical Therapist, Doctor of Physical Therapy, Orthopedic Clinical Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 08, 2017

Record deactivated on September 08, 2017

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 126 AVOCADO AVE, SUITE 104, PERRIS, CA 925712605 (Tel: 9519438160)

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Updated Business Mailing Address July 09, 2007

Registered at 126 AVOCADO AVE, SUITE 104, PERRIS, CA 925712605 (Tel: 9519438160)

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Provider Name / Credentials Updated July 09, 2007

Recorded as RONALD PRITIKIN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #G17902 in CA)

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Initial NPI Registration & Enumeration March 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164554549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: July 09, 2007
Deactivation Date: September 08, 2017

Mailing Address

126 Avocado Ave, Suite 104

Perris, CA 925712605

Phone: 9519438160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.