Individual provider Active NPI

Jonathan W Rick, MD

  • Dermatology Physician
  • Placerville, CA
National Provider Identifier
1710440169
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A182777 Issued in CA
Practice address
3105 Cedar Ravine Rd Ste 201
Placerville, CA 95667-6561
Phone
(530) 626-1602
NPI assigned
Apr 12, 2019
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A182777 CA Primary

Addresses

Primary practice location

3105 Cedar Ravine Rd Ste 201
Placerville, CA 95667-6561

Mailing address

1890 Sutter St
San Francisco, CA 94115-3259
Phone (805) 245-2915

Other practice location 1

4301 W Markham St # 576
Little Rock, AR 72205-7101
Phone (501) 526-6994

Other practice location 2

3581 Palmer Dr Ste 203
Cameron Park, CA 95682-8237
Phone (530) 676-0119

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
I20230714000859 CA Practitioner - Dermatology 3577891514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 783-7109

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

2400 Del Paso Rd
Suite 145
Sacramento, CA 95834-9629
Phone (916) 928-3940

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

271 Turnpike Dr
Folsom, CA 95630-8098
Phone (916) 985-9200

3301 C St
Sacramento, CA 95816-3300
Phone (916) 734-6805

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1116
Removal or shaving of skin growth49
Skin biopsy485

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Dermatology CurrentSince May 10, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince May 10, 2024 Accepting new patients
Regents of the University of California CurrentSince Apr 29, 2024 Accepting new patients
Regents of the University of California CurrentSince Apr 29, 2024 Accepting new patients
Jill E. Stocker, D.O. PC PastSince May 22, 2010 Accepting new patients
University Dermatopathology Services Inc PastSince Nov 10, 2024 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: jrick@directaddress.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1710440169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153259",
            "telephone_number": "805-245-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CEDAR RAVINE RD STE 201",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676561",
            "telephone_number": "530-626-1602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 576",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-526-6994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3581 Palmer Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956828237",
            "country_code": "US",
            "telephone_number": "530-676-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICK",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A182777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.