NPIMap

Individual provider Active NPI

Emilie Beth Riddle, MD

  • Family Medicine Physician
  • Placerville, CA
National Provider Identifier
1457526972
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C150145 Issued in CA
Practice address
1095 Marshall Way Ste 100
Placerville, CA 95667-5722
Phone
(530) 626-2920
Fax
(530) 626-2948
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 C150145 CA Primary

Addresses

Primary practice location

1095 Marshall Way Ste 100
Placerville, CA 95667-5722

Mailing address

PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 626-2920

Other practice location 1

315 N Washington Ave
Suite 230
Cookeville, TN 38501-2603
Phone (931) 520-8457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803002770 CA Practitioner - Family Practice 9931239977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians

Practice addresses (Care Compare)

1004 Fowler Way
Placerville, CA 95667-5746
Phone (530) 626-9488

1095 Marshall Way
Placerville, CA 95667-5722

3581 Palmer Dr
Cameron Park, CA 95682-8238
Phone (530) 672-7000

4201 Town Ctr Blvd
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

5137 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9671
Phone (530) 344-5400

Hospital & facility affiliations

  • Hearts Home Healthcare, Inc Home health agency, Folsom, CA, CCN 559052
  • Marshall Home Care Home health agency, Diamond Springs, CA, CCN 057019
  • Accentcare Home Health of California, Inc Home health agency, Sacramento, CA, CCN 557253
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Snowline Health Hospice, Diamond Springs, CA, CCN 051567
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C150145CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Marshall Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Amg-Livingston LLC Past Accepting new patients
Marshall Medical Center Past Accepting new patients

Locations

3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920

4201 Town Center Blvd
Bldg D
El Dorado Hills, CA 95762
Phone (530) 344-5400

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1095 Marshall Way
Ste 100
Placerville, CA 95667
Phone (530) 344-5470

1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488

Organizations & group practices 10

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 7

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": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457526972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45680",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450680",
            "telephone_number": "530-626-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 MARSHALL WAY STE 100",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675722",
            "telephone_number": "530-626-2920",
            "fax_number": "530-626-2948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N Washington Ave",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012603",
            "country_code": "US",
            "telephone_number": "931-520-8457",
            "fax_number": "931-520-6373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "EMILIE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C150145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.