Ricardo Enrique McKenzie, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A43601 Issued in CA

Practice address

3680 E Imperial Hwy
Suite 470
Lynwood, CA 90262-2659

Phone

(310) 604-3456

Fax

(310) 762-6442

NPI assigned

Jul 7, 2005

Last updated

Jul 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Ricardo McKenzie M.D. Inc.

  • Internal Medicine Physician
  • Lynwood, CA
  • NPI 1932379385
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - St Francis LLC

  dba St Francis Medical Center

  • General Acute Care Hospital
  • Lynwood, CA
  • NPI 1114547114
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1104823814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6815",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926076815",
            "telephone_number": "310-604-3456",
            "fax_number": "949-249-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "SUITE 470",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "310-604-3456",
            "fax_number": "310-762-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "RICARDO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Maxfield, LICSW
• Maxine M. Anderson, M.D., Inc.
• Jerrel McCoy
• Matthew McDonald
• Earl Flynn McKayhan
• Ellen McKinney
• McMillan Primary Care Medical
• Rebecca L McMullen
• Alize McNair-Braggs
• Erika McNeal, NP

• Internal Medicine Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.

Verify at the official NPI Registry.