Individual provider Active NPI

Ryan Fisher Ricks, DPM

  • Podiatrist
  • Corona, CA
National Provider Identifier
1922081843
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3898 Issued in CA
Practice address
21634 Retreat Pkwy
Corona, CA 92883-6100
Phone
(951) 493-6915
Fax
(951) 826-8136
NPI assigned
Nov 23, 2005
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3898 CA Primary

Addresses

Primary practice location

21634 Retreat Pkwy
Corona, CA 92883-6100

Mailing address

21634 Retreat Pkwy
Corona, CA 92883-6100
Phone (951) 493-6915

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ92058ZOtherGROUP SITE LOCATION

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090218000578 CA Practitioner - Podiatry 0840355228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Medical Clinic IncGroup PAC ID 2961492327, 173 clinicians

Practice addresses (Care Compare)

7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of skin lesions1-10
Removal of nail tissue96
Removal or shaving of skin growth68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3898CAMDPodiatrist
3898CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc CurrentSince Dec 4, 1995 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Medical Clinic, Inc Podiatrist CurrentSince Dec 4, 1995 Accepting new patients
Uhs Corona Inc Past Accepting new patients
RMC Surgery Center, LLC Past Accepting new patients

Locations

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

6250 Clay St
Riverside, CA 92509
Phone (951) 360-5250

6405 Day St
Riverside, CA 92507
Phone (909) 683-6370

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1922081843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21634 RETREAT PKWY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836100",
            "telephone_number": "951-493-6915",
            "fax_number": "951-826-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21634 RETREAT PKWY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836100",
            "telephone_number": "951-493-6915",
            "fax_number": "951-826-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "RYAN",
        "middle_name": "FISHER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP SITE LOCATION",
            "identifier": "ZZZ92058Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.