Individual provider Active NPI

Gregory Michael Bricca, MD

  • MOHS-Micrographic Surgery Physician
  • Roseville, CA
National Provider Identifier
1184628000
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A70396 Issued in CA
Practice address
9269 Sierra College Blvd
Roseville, CA 95661
Phone
(916) 772-1585
Fax
(916) 772-5685
NPI assigned
Jun 9, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A70396 CA
MOHS-Micrographic Surgery Physician 207ND0101X A70396 CA Primary

Addresses

Primary practice location

9269 Sierra College Blvd
Roseville, CA 95661

Mailing address

9269 Sierra College Blvd
Roseville, CA 95661
Phone (916) 772-1585

Other identifiers 1

IdentifierTypeStateIssuer
00A703962OtherCAMEDICARE

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
I20080507000631 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7416036017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Nevada School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

355 Lennon LN
Suite 255
Walnut Creek, CA 94598-2496
Phone (925) 932-7704

9269 Sierra College Blvd
Roseville, CA 95661-5934
Phone (916) 772-1585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
5.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
18.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision288
Removal of skin lesions167
Removal of skin cancer2311
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70396CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Gregory M. Bricca M.D., Inc. Mohs-Micrographic Surgery CurrentSince Apr 22, 2008 Accepting new patients
Golden State Dermatology Associates Inc Dermatology CurrentSince Jan 1, 2024 Accepting new patients
California Skin Surgery Center Inc PastSince May 6, 2008 Accepting new patients
Michael J Fazio, MD Inc Mohs-Micrographic Surgery Past Accepting new patients
Point West Surgery Center Mohs-Micrographic Surgery PastSince Feb 4, 2024 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

9269 Sierra College Blvd
Roseville, CA 95661
Phone (916) 475-2222

355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184628000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9269 SIERRA COLLEGE BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-772-1585",
            "fax_number": "916-772-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9269 SIERRA COLLEGE BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-772-1585",
            "fax_number": "916-772-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICCA",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A70396",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A70396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00A703962",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.