Healthcare Provider Details

I. General information

NPI: 1801997242
Provider Name (Legal Business Name): RICHARD B. RIEMER D.O.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 K ST SUITE 420
SACRAMENTO CA
95816-5120
US

IV. Provider business mailing address

2801 K ST SUITE 420
SACRAMENTO CA
95816-5120
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-8877
  • Fax: 916-733-8878
Mailing address:
  • Phone: 916-733-8877
  • Fax: 916-733-8878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number20A5069
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number20A5069
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2084S0010X
TaxonomySports Medicine (Psychiatry & Neurology) Physician
License Number20A5069
License Number StateCA

VIII. Authorized Official

Name: MS. RONNI RIEMER
Title or Position: MEDICAL PRACTICE MANAGER
Credential: MBA
Phone: 916-733-8877