| Jonathan W Rick, MD | |
|
3105 Cedar Ravine Rd Ste 201, Placerville, CA 95667-6561 | |
| (530) 626-1602 | |
| Not Available |
| Full Name | Jonathan W Rick |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 3105 Cedar Ravine Rd Ste 201, Placerville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710440169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A182777 (California) | Primary |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan W Rick, MD 1890 Sutter St, San Francisco, CA 94115-3259 Ph: (805) 245-2915 | Jonathan W Rick, MD 3105 Cedar Ravine Rd Ste 201, Placerville, CA 95667-6561 Ph: (530) 626-1602 |
Bruce Dean Miller, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1004 Fowler Way, Suite 6, Placerville, CA 95667 Phone: 530-626-1602 Fax: 530-626-8636 | |
Alexandria Marie Riopelle, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3105 Cedar Ravine Rd, Placerville, CA 95667 Phone: 925-786-0738 |