Richard Niemeyer, MD, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G28871 Issued in CA

Legal business name

RICHARD NIEMEYER, MD, INC.

Practice address

17709 Chatsworth St
Granada Hills, CA 91344-5604

Phone

(818) 363-3121

Fax

(818) 366-1728

NPI assigned

Jan 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Scott Niemeyer, M.D.

Title

President

Phone

(818) 363-3121

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doris A Barizo, DMD

  • General Practice Dentistry
  • Northridge, CA
  • NPI 1255479721
  NPD (past)
• Derek Lee Biesheuvel, RPT

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1598842700
  NPD (past)
• Fariba Javaherian, M.D

  • Dermatology Physician
  • Northridge, CA
  • NPI 1114088804
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1003094020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17709 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445604",
            "telephone_number": "818-363-3121",
            "fax_number": "818-366-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17709 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445604",
            "telephone_number": "818-363-3121",
            "fax_number": "818-366-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD NIEMEYER, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "NIEMEYER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-363-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G28871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESIDENTS MED LICENSE",
            "identifier": "G28871",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revida Recovery Inc
• Elizabeth Margarita Reyes, LCSW
• Rocky Velasquez Reyes
• Victoria Reynosa, PTA
• Joy M Riad
• Richard Park M.D., a Professional Corporation
• Richard Park, MD a Professional Corporation
• Rinaldi Care Home
• Rinaldi Operating Company LLC
• Manuel Antonio Rios

• General Practice Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.