Active NPI
Richard E Swenson, MD
- Family Medicine Physician
- Yreka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A73188
- Practice address
- 1501 S Oregon St
Yreka, CA 96097 - Phone
- (530) 842-2062
- Fax
- (530) 842-2160
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A73188 | CA | Primary |
Addresses
Primary practice location
1501 S Oregon St
Yreka, CA 96097
Mailing address
PO Box 1340
Yreka, CA 96097
Phone (530) 842-2062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A731880 | Medicaid | CA |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-4121
Hospital & facility affiliations
- Fairchild Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73188 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Hospital, Inc. | Current | Accepting new patients | |
| Fairchild Medical Group | Family Medicine | Past | Accepting new patients |
| Inland Empire Hospital Services Association | Family Medicine | Past | Accepting new patients |
Locations
475 Bruce St
Ste 900
Yreka, CA 96097
444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256
475 Bruce St
Ste 500
Yreka, CA 96097
Phone (530) 842-3507
475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507
Interoperability endpoints
- rswenson2459252@oc.providencedirect.org
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Family Medicine Physician
- Yreka, CA
- NPI 1063588895
-
- Family Medicine Physician
- Spokane, WA
- NPI 1326002163
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Critical Access Hospital
- Yreka, CA
- NPI 1952701369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1043301732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1340",
"city": "YREKA",
"state": "CA",
"postal_code": "96097",
"telephone_number": "530-842-2062",
"fax_number": "530-842-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S OREGON ST",
"city": "YREKA",
"state": "CA",
"postal_code": "96097",
"telephone_number": "530-842-2062",
"fax_number": "530-842-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A73188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A731880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.