Individual provider Active NPI

Elizabeth Rose Heller Rizza, MD

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1467831388
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A172737 Issued in CA
Practice address
3301 C St Ste 1400
Sacramento, CA 95816-3367
Phone
(916) 551-2621
Fax
(916) 319-7042
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD468274 PA
Student in an Organized Health Care Education/Training Program 390200000X MT210543 PA
Dermatology Physician 207N00000X A172737 CA Primary

Addresses

Primary practice location

3301 C St Ste 1400
Sacramento, CA 95816-3367

Mailing address

3301 C St Ste 1400
Sacramento, CA 95816-3367
Phone (916) 551-2621

Other practice location 1

3400 Civic Center Blvd
Ste 330S
Philadelphia, PA 19104-5127
Phone (215) 662-2737

Other names 1

  • Elizabeth Rose Heller Former name

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
I20210819001872 CA Practitioner - Dermatology 7113237975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172737CAMDDermatology Physician
MD468274PAMDDermatology Physician
MT210543PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 18, 2021 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2021 Accepting new patients
Regents of the Univ of Ca Dermatology CurrentSince Aug 18, 2021 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2021 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2440 W Covell Blvd
Ste 104
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Fl 2
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

2440 W Covell Blvd
Davis, CA 95616
Phone (530) 668-2646

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

3301 C St
Ste 1400
Sacramento, CA 95816
Phone (916) 734-6111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1467831388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163367",
            "telephone_number": "916-551-2621",
            "fax_number": "916-319-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163367",
            "telephone_number": "916-551-2621",
            "fax_number": "916-319-7042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Civic Center Blvd",
            "address_2": "Ste 330S",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045127",
            "country_code": "US",
            "telephone_number": "215-662-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZA",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE HELLER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD468274",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT210543",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A172737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HELLER",
            "middle_name": "ROSE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.