MEDICARE: P3 HEALTH PARTNERS CALIFORNIA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1558215400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P3 HEALTH PARTNERS CALIFORNIA PC

Provider Business Mailing Address
First Line	:	2370 CORPORATE CIR STE 300
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7760
Country	:	US
Telephone Number	:	702-444-0428
Fax Number	:	702-786-6650

Provider Business Practice Location Address
First Line	:	2529 W MARCH LN STE 101
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-8270
Country	:	US
Telephone Number	:	209-320-2678
Fax Number	:

Authorized Official
Title or Position	:	REGIONAL VP MEDICAL AFFAIRS
Name	:	JAMES S RICKARDS
Credential	:	MD
Telephone Number	:	503-391-4182

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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