Individual provider Active NPI

Erick Rizzotto, MD

  • Psychiatry Physician
  • San Ramon, CA
National Provider Identifier
1053670893
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A120375 Issued in CA
Practice address
117 Galisteo CT
San Ramon, CA 94583-2112
Phone
(718) 614-5052
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A120375 CA Primary

Addresses

Primary practice location

117 Galisteo CT
San Ramon, CA 94583-2112

Mailing address

117 Galisteo CT
San Ramon, CA 94583-2112

Other practice location 1

8735 Dunwoody Pl # 6880
Atlanta, GA 30350-2995
Phone (718) 614-5052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000067 CA Practitioner - Psychiatry 5698926095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Behavioral Group Nursing Corporation Psychiatry CurrentSince May 1, 2025 Accepting new patients
Brainiac Medical Corporation Psychiatry PastSince Feb 19, 2023 Accepting new patients

Locations

1007 E Cooley Dr
Ste 111
Colton, CA 92324
Phone (909) 429-3244

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1053670893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GALISTEO CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GALISTEO CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832112",
            "telephone_number": "718-614-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8735 Dunwoody Pl # 6880",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303502995",
            "country_code": "US",
            "telephone_number": "718-614-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZOTTO",
        "first_name": "ERICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A120375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.