Individual provider Active NPI

Douglas H. Richie Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Seal Beach, CA
National Provider Identifier
1013956838
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2669 Issued in CA
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2669CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamitos Podiatry Group Foot & Ankle Surgery CurrentSince Nov 7, 2003 Accepting new patients
Sunset Physical Therapy Corporation PastSince Apr 8, 2012 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.

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

Verify at the official NPI Registry.