NPIMap

Individual provider Active NPI

Joseph Ricioli, DO (MAY 30, 2018)

  • Family Medicine Physician
  • Patterson, CA
National Provider Identifier
1174010052
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19137 Issued in CA
Practice address
801 E St
Patterson, CA 95363-2670
Phone
(209) 892-2081
Fax
(209) 892-5978
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A19137 CA Primary

Addresses

Primary practice location

801 E St
Patterson, CA 95363-2670

Mailing address

801 E St
Patterson, CA 95363-2670
Phone (209) 892-2081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211123003162 CA Practitioner - Family Practice 0143579698 Reassigns benefits to 1 organization
I20250908001523 NV Practitioner - Family Practice 0143579698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

3612 Dale Rd
Modesto, CA 95356-0500
Phone (209) 522-0146

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

801 E St
Patterson, CA 95363-2670
Phone (209) 892-2081

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Salida, CA, CCN 057695
  • Careone Home Health and Hospice, Inc Home health agency, Salida, CA, CCN 059401
  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557
  • Memorial Hospital Los Banos Hospital, Los Banos, CA, CCN 050528
  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions29
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19137CAMDFamily Medicine Physician
19137CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Nov 22, 2021 Accepting new patients
Pershing General Hospital CurrentSince Apr 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 22, 2021 Accepting new patients
Pershing General Hospital CurrentSince Apr 1, 2025 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

801 E St
Patterson, CA 95363
Phone (209) 521-2024

Interoperability endpoints

  • Direct secure messaging: jricioli353680@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1174010052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E ST",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632670",
            "telephone_number": "209-892-2081",
            "fax_number": "209-892-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E ST",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632670",
            "telephone_number": "209-892-2081",
            "fax_number": "209-892-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICIOLI",
        "first_name": "JOSEPH",
        "credential": "DO (MAY 30, 2018)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

Verify at the official NPI Registry.