Individual provider Active NPI

Nicole Economou, MD

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
National Provider Identifier
1922558220
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A145438 Issued in CA
Practice address
4860 Y St Ste 2500
Sacramento, CA 95817-2307
Phone
(916) 734-6670
NPI assigned
Oct 11, 2016
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A145438 CA Primary

Addresses

Primary practice location

4860 Y St Ste 2500
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 2500
Sacramento, CA 95817-2307
Phone (916) 734-6670

Other practice location 1

4555 Precissi Ln
Stockton, CA 95207-6239
Phone (209) 477-4103

Other practice location 2

201 29th St Ste B
Sacramento, CA 95816-3288
Phone (916) 446-6921

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
I20190911000191 CA Practitioner - Obstetrics/Gynecology 7517296932 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-3588

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145438CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Regents of the University of California Obstetrics & Gynecology CurrentSince Jul 13, 2019 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 16, 2021 Accepting new patients
Planned Parenthood Shasta Diablo, Inc CurrentSince Jun 1, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 16, 2021 Accepting new patients
Regents of the University of California CurrentSince Jul 13, 2019 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Aug 12, 2021 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Aug 12, 2021 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince Jun 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Dec 19, 2024 Accepting new patients
Planned Parenthood Shasta Diablo Inc Current Accepting new patients
Regents of the University of Ca CurrentSince Dec 19, 2024 Accepting new patients
Regents of the Univ of Ca 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

3100 Cohasset Rd
Chico, CA 95973
Phone (530) 342-2949

2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300

201 29th St
Sacramento, CA 95816
Phone (916) 446-6921

201 29th St
Ste B
Sacramento, CA 95816
Phone (916) 446-6921

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

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

4860 Y St
Ste 2500
Sacramento, CA 95817
Phone (916) 734-6930

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103

Interoperability endpoints

  • Direct secure messaging: nicole.economou.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 17

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.

View all 17

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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1922558220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 2500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 2500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4555 Precissi Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076239",
            "country_code": "US",
            "telephone_number": "209-477-4103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 29th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958163288",
            "country_code": "US",
            "telephone_number": "916-446-6921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECONOMOU",
        "first_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A145438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.