Back to Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A450730 Issued in CA

Legal business name

BACK TO MEDICINE, INC

Practice address

1215 Plumas St
Ste 101
Yuba City, CA 95991-3455

Phone

(530) 751-1701

Fax

(530) 751-1705

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dwain W Rickertsen, M.D.

Title

President/Physician

Phone

(530) 751-1701

Specialties & licenses 1

Addresses

Other names 1

• Dr Dwain W. Rickertsen, M.D. Former legal business name

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669498036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "STE 101",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-751-1701",
            "fax_number": "530-751-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "STE 101",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-751-1701",
            "fax_number": "530-751-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICKERTSEN",
        "authorized_official_first_name": "DWAIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "530-751-1701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A450730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Dwain W. Rickertsen, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brian Aylen, CPO
• Brandi Michelle Azevedo
• Alondra Valeria Azzolino
• Saima Babar I
• Jan Felix Babiszewski, M.D.
• Stephanie Kristine Badame, ASW
• Herjot Kaur Badesha, PA-C
• Leena Badran
• Debra Lynn Bagley
• Deidra Renee Bagley

• Family Medicine Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.