Active NPI
Raymond Robert Rickards, D.C.
- Chiropractor
- Escondido, CA
National Provider Identifier
1518159342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC12519
- Practice address
- 1340 W Valley Pkwy Ste 201
Escondido, CA 92029-2136 - Phone
- (760) 745-1511
- Fax
- (760) 735-5885
- NPI assigned
- Aug 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC12519 | CA | Primary |
Addresses
Primary practice location
1340 W Valley Pkwy Ste 201
Escondido, CA 92029-2136
Mailing address
PO Box 546
Cardiff, CA 92007-0546
Phone (858) 436-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WDC12519A | Other | CA | MEDICARE PTAN FOR DOCTOR |
| W21266 | Other | CA | MEDICARE PTAN FOR CORP. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1340 W Valley Pkwy
Suite 201
Escondido, CA 92029-2136
Phone (760) 745-1511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC12519 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rickards Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
Locations
1340 W Valley Pkwy
Ste 201
Escondido, CA 92029
Phone (619) 325-1161
1111 E Washington Ave
Ste D
Escondido, CA 92025
Phone (619) 745-1511
Organizations & group practices 1
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.
-
- Chiropractor
- Escondido, CA
- NPI 1639130677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1518159342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920070546",
"telephone_number": "858-436-7600",
"fax_number": "760-797-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 W VALLEY PKWY STE 201",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920292136",
"telephone_number": "760-745-1511",
"fax_number": "760-735-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKARDS",
"first_name": "RAYMOND",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC12519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN FOR DOCTOR",
"identifier": "WDC12519A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN FOR CORP.",
"identifier": "W21266",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.