Active NPI
Yolanda Richeson
- Sports Medicine (Preventive Medicine) Physician
- El Segundo, CA
National Provider Identifier
1083588651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 64171
- Practice address
- 824 E Grand Ave Apt 6
El Segundo, CA 90245-4135 - Phone
- (310) 424-8664
- NPI assigned
- Oct 6, 2025
- 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 |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 64171 | CA | Primary |
Addresses
Primary practice location
824 E Grand Ave Apt 6
El Segundo, CA 90245-4135
Mailing address
138 Arena St Ste a
El Segundo, CA 90245-3932
Phone (310) 424-8664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1083588651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 ARENA ST STE A",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453932",
"telephone_number": "310-424-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 E GRAND AVE APT 6",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454135",
"telephone_number": "310-424-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHESON",
"first_name": "YOLANDA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Sports Medicine",
"state": "CA",
"license": "64171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.