Active NPI
Douglas H. Richie Jr., D.P.M.
- Foot & Ankle Surgery Podiatrist
- Seal Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E2669
- Practice address
- 550 Pacific Coast Hwy
#209
Seal Beach, CA 90740-5999 - Phone
- (562) 493-2451
- Fax
- (562) 596-3157
- NPI assigned
- Jun 6, 2006
- Last updated
- Mar 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E2669 | CA | Primary |
Addresses
Primary practice location
550 Pacific Coast Hwy
#209
Seal Beach, CA 90740-5999
Mailing address
550 Pacific Coast Hwy
#209
Seal Beach, CA 90740-5999
Phone (562) 493-2451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120301000288 | CA | Practitioner - Podiatry | 4082527734 |
Reassigns benefits to 1 organization Practice locations: Seal Beach, CA |
| O20100930053952 | CA | DME Supplier - Physician - Podiatry | 9335352657 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Seal Beach, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Customized Equipment (DME)
- Seal Beach, CA
- NPI 1386886018
O20100930053952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2669 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamitos Podiatry Group | Foot & Ankle Surgery | Current | Accepting new patients |
| Sunset Physical Therapy Corporation | Past | Accepting new patients |
Locations
3771 Katella Ave
Ste 200
Los Alamitos, CA 90720
Phone (562) 430-1084
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Los Alamitos, CA
- NPI 1821281353
-
- Customized Equipment (DME)
- Seal Beach, CA
- NPI 1386886018
-
- Physical Therapist
- Huntington Beach, CA
- NPI 1528097482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1013956838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PACIFIC COAST HWY",
"address_2": "#209",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907405999",
"telephone_number": "562-493-2451",
"fax_number": "562-596-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PACIFIC COAST HWY",
"address_2": "#209",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907405999",
"telephone_number": "562-493-2451",
"fax_number": "562-596-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHIE",
"first_name": "DOUGLAS",
"middle_name": "H.",
"name_suffix": "Jr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E2669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.