DR. MARVIN DARYLE RICKS DPM NPI 1548291263

NPI Information

  • NPI: 1548291263
  • Provider Name: DR. MARVIN DARYLE RICKS, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • Address: 1601 MCHENRY VILLAGE WAY STE 3
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 526-3907

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NPI Details

DR. Marvin Daryle Ricks, DPM is a podiatrist in Modesto, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Marvin Daryle Ricks, DPM NPI is 1548291263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 MCHENRY VILLAGE WAY STE 3
MODESTO, CA
ZIP 95350-338
Phone: (209) 526-3907
Fax: (209) 526-3908

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristE2454CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000E24541MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2000E24541MEDICAIDCALIFORNIA
3000E24540MEDICAIDCALIFORNIA
4T11338MEDICARE UPINCALIFORNIA
5000E24540MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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