Individual provider Active NPI

Michael Anthony Richardson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Barbara, CA
National Provider Identifier
1124063110
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A30569 Issued in CA
Practice address
680 Miramonte Dr
Santa Barbara, CA 93109-1429
Phone
(805) 966-5504
Fax
(805) 966-4621
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A30569 CA Primary

Addresses

Primary practice location

680 Miramonte Dr
Santa Barbara, CA 93109-1429

Mailing address

680 Miramonte Dr
Santa Barbara, CA 93109-1429
Phone (805) 966-5504

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.richardson@ventura.cernerdirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316001026 CA Practitioner - Pathology 8426003054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A30569CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Nov 1, 2011 Accepting new patients
County of Ventura Current Accepting new patients
St Francis Pathology Medical Group Anatomic Pathology & Clinical Pathology PastSince Jul 1, 2005 Accepting new patients

Locations

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

800 S Victoria Ave
#L4615
Ventura, CA 93009
Phone (805) 677-5181

Interoperability endpoints

  • Direct secure messaging: michael.richardson@ventura.cernerdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1124063110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MIRAMONTE DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091429",
            "telephone_number": "805-966-5504",
            "fax_number": "805-966-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MIRAMONTE DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091429",
            "telephone_number": "805-966-5504",
            "fax_number": "805-966-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A30569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.richardson@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "825 N 10th St",
            "city": "Santa Paula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930601309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.