Edward P. Richert, M.D., Inc.
Organization Active NPI Family Medicine Physician · Alturas, CA
NPI 1003055740 · NPPES record last updated Feb 19, 2009
Key facts
- NPI
- 1003055740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G35911 (CA)
- Legal business name
- EDWARD P. RICHERT, M.D., INC.
- Practice address
- 229 W McDowell Ave
Alturas, CA 96101-3933 - Phone
- (530) 233-7052
- Fax
- (530) 233-4302
- NPI assigned
- Feb 19, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Edward P. Richert, M.D.
- Title
- President
- Phone
- (530) 233-4680
Practitioners 1
-
Edward Paul Richert, M.D.
National Provider Directory
Locations
229 W McDowell Ave
Alturas, CA 96101
Phone (530) 233-5131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | G35911 | CA | Yes |
Addresses
Primary practice location
229 W McDowell Ave
Alturas, CA 96101-3933
Mailing address
710 E 5TH St
Alturas, CA 96101-3506
Phone (530) 233-4680
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G359110 | Medicaid | CA |
Other providers in Alturas, CA
- Richard James Crosby Jr.
- Jillian Diane Davidson
- Cindy Marie Deiter
- Guillermo Diaz
- Dr. Kyle Dearing, O.D, Inc
- Heidi Lynn Elmer
- Norman Dennis Ensminger
- Evelyn M Farber
- Edward S Fass
- Fay, Fay and Stevens Inc.
All providers in Alturas, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.