Individual provider Active NPI

Enass Eskander Rickards, M.D.

  • Orthopaedic Surgery Physician
  • La Jolla, CA
National Provider Identifier
1609850080
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G79785 Issued in CA
Practice address
4130 La Jolla Village Dr
Suite 306
La Jolla, CA 92037-9121
Phone
(858) 455-6460
Fax
(858) 455-7197
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G79785 CA Primary
Orthopaedic Hand Surgery Physician 207XS0106X G79785 CA

Addresses

Primary practice location

4130 La Jolla Village Dr
Suite 306
La Jolla, CA 92037-9121

Mailing address

4130 La Jolla Village Dr
Suite 306
La Jolla, CA 92037-9121
Phone (858) 455-6460

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
I20100929001374 CA Practitioner - Orthopedic Surgery 3072502764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Girard Orthopaedic Surgeons Medical Group IncGroup PAC ID 6709773773, 8 clinicians

Practice addresses (Care Compare)

8851 Ctr Dr
Suite 601
La Mesa, CA 91942-3062
Phone (619) 441-9811

9333 Genesee Ave
Suite 350
San Diego, CA 92121-2103
Phone (858) 455-6460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79785CAMDMarriage & Family Therapist
G79785CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Girard Orthopaedic Surgeons Medical Group,. Inc Orthopaedic Surgery CurrentSince Aug 1, 1999 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

480 Fourth Ave
Ste 501
Chula Vista, CA 91910
Phone (619) 425-9811

4130 La Jolla Village Dr
Ste 306
La Jolla, CA 92037
Phone (858) 455-6460

8851 Center Dr
Ste 601
La Mesa, CA 91942
Phone (619) 441-9811

9333 Genesee Ave
Ste 350A
San Diego, CA 92121

9333 Genesee Ave
Ste 350
San Diego, CA 92121
Phone (858) 455-6460

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: erickards42857@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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 2

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1609850080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR",
            "address_2": "SUITE 306",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379121",
            "telephone_number": "858-455-6460",
            "fax_number": "858-455-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LA JOLLA VILLAGE DR",
            "address_2": "SUITE 306",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379121",
            "telephone_number": "858-455-6460",
            "fax_number": "858-455-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARDS",
        "first_name": "ENASS",
        "middle_name": "ESKANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G79785",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G79785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.