Individual provider Active NPI

Raymond Robert Rickards, D.C.

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1518159342
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12519 Issued in CA
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

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WDC12519AOtherCAMEDICARE PTAN FOR DOCTOR
W21266OtherCAMEDICARE PTAN FOR CORP.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071129000668 CA Practitioner - Chiropractic 7810086725 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
DC12519CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rickards Chiropractic, Inc. Chiropractor CurrentSince Dec 1, 2000 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.

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.

Verify at the official NPI Registry.