=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558215400
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | P3 HEALTH PARTNERS CALIFORNIA PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2026
-----------------------------------------------------
Last Update Date | 02/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2529 W MARCH LN STE 101
-----------------------------------------------------
City | STOCKTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95207-8270
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-320-2678
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2370 CORPORATE CIR STE 300
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89074-7760
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-444-0428
-----------------------------------------------------
Fax | 702-786-6650
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | REGIONAL VP MEDICAL AFFAIRS
-----------------------------------------------------
Name | JAMES S RICKARDS
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 503-391-4182
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------