Active NPI
Jonathan Rice, PAC
- Surgical Physician Assistant
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA16576
- Practice address
- 558 Saint Charles Dr Ste 200
Thousand Oaks, CA 91360-3968 - Phone
- (805) 379-2322
- Fax
- (805) 379-2373
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA16576 | CA | Primary |
Addresses
Primary practice location
558 Saint Charles Dr Ste 200
Thousand Oaks, CA 91360-3968
Mailing address
558 Saint Charles Dr Ste 200
Thousand Oaks, CA 91360-3968
Phone (805) 379-2322
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 Newbury Rd
Thousand Oaks, CA 91320-6434
Phone (805) 379-2322
558 Saint Charles Dr
Suite 200
Thousand Oaks, CA 91360-3968
Phone 8053792322119
Hospital & facility affiliations
- Los Robles Hospital & Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.76 of 100
- Quality
- 90.68
- Improvement activities
- 40
- Cost
- 51.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16576 | CA | MD | Acupuncturist |
| PA16576 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Spine Institute | Current | Accepting new patients | |
| Corona Orthopaedic Associates Medical Group Inc | Past | Accepting new patients |
Locations
558 Saint Charles Dr
Ste 200
Thousand Oaks, CA 91360
Phone (805) 379-2322
1001 Newbury Rd
Thousand Oaks, CA 91320
Phone (805) 375-7900
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Thousand Oaks, CA
- NPI 1780377283
-
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
- NPI 1790717965
-
- Orthopaedic Surgery Physician
- Corona, CA
- NPI 1598872657
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1720113392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 SAINT CHARLES DR STE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913603968",
"telephone_number": "805-379-2322",
"fax_number": "805-379-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "558 SAINT CHARLES DR STE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913603968",
"telephone_number": "805-379-2322",
"fax_number": "805-379-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "JONATHAN",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA16576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.