Individual
MARK RATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3333
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A83628
CA
208M00000X
Hospitalist Physician
Primary
A83628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810607467
PHCS
CA
01
—
00A836280
BLUE SHIELD
CA
05
—
00A836280
—
CA
01
—
1806848
GREAT WEST
CA
01
—
2237972
FIRST HEALTH
CA
01
—
236150
HEALTH NET
CA
01
—
2443808
UNITED HEALTHCARE
CA
01
—
7071951
CIGNA
CA
01
—
7208632
AETNA
CA
01
—
90141472
INTERPLAN
CA
01
—
A83628
BLUE CROSS
CA
01
—
MCMG343700
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/20/2006
Last updated
02/13/2012
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