Individual provider Active NPI

Irene Ricks, PA-C

  • Physician Assistant
  • Palo Alto, CA
National Provider Identifier
1336921329
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63424 Issued in CA
Practice address
2515 El Camino Real Ste 201
Palo Alto, CA 94306-1776
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Oct 16, 2023
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63424 CA Primary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

2515 El Camino Real Ste 201
Palo Alto, CA 94306-1776

Mailing address

521 Newville Dr
Los Gatos, CA 95032-1140

Other practice location 1

521 Newville Dr
Los Gatos, CA 95032-1140
Phone (408) 691-0862

Other practice location 2

900 Veterans Blvd Ste 150
Redwood City, CA 94063-1741
Phone (888) 663-6331

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404003627 CA Practitioner - Physician Assistant 6002254356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

110 Sutter St
Suite 6
San Francisco, CA 94104-4020
Phone (888) 663-6331

329 Primrose Rd
Burlingame, CA 94010-4037
Phone (650) 288-1200

590 Forest Ave
Palo Alto, CA 94301-2611
Phone (650) 288-4080

900 Veterans Blvd
Suite 150
Redwood City, CA 94063-1741
Phone (650) 298-8774

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63424CAMDDentist
PA63424CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Apr 22, 2024 Accepting new patients
One Medical Group, Inc CurrentSince Apr 22, 2024 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

329 Primrose Rd
Burlingame, CA 94010
Phone (650) 288-1200

2515 El Camino Real
Ste 201
Palo Alto, CA 94306

2515 El Camino Real
Ste 202
Palo Alto, CA 94306

590 Forest Ave
Palo Alto, CA 94301
Phone (650) 288-4080

900 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-3940

900 Veterans Blvd
Ste 150
Redwood City, CA 94063
Phone (650) 298-8774

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

Organizations & group practices 3

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1336921329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 NEWVILLE DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 EL CAMINO REAL STE 201",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061776",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Newville Dr",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950321140",
            "country_code": "US",
            "telephone_number": "408-691-0862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Veterans Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940631741",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKS",
        "first_name": "IRENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63424",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.