Active NPI
Richard Alan Feinberg, M.D.
- Otolaryngology Physician
- North Hills, CA
National Provider Identifier
1164407789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 34232
- Practice address
- 15034 Providence LN
Ste 47
North Hills, CA 91343-3477 - Phone
- (661) 424-0900
- Fax
- (661) 424-0924
- NPI assigned
- Dec 7, 2005
- Last updated
- Feb 22, 2017
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 34232 | MA | Primary |
Addresses
Primary practice location
15034 Providence LN
Ste 47
North Hills, CA 91343-3477
Mailing address
15034 Providence LN
Apt 47
North Hills, CA 91343-3477
Phone (661) 424-0900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G295170 | Medicaid | CA | |
| 2041863 | Medicaid | MA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070109000239 | CA | Practitioner - Otolaryngology | 6507894896 | Practice locations: North Hills, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15034 Providence LN
North Hills, CA 91343-3477
Phone (818) 773-9080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29517 | CA | MD | General Practice Dentistry |
| 34232 | MA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1164407789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15034 PROVIDENCE LN",
"address_2": "APT 47",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913433477",
"telephone_number": "661-424-0900",
"fax_number": "661-424-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15034 PROVIDENCE LN",
"address_2": "STE 47",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913433477",
"telephone_number": "661-424-0900",
"fax_number": "661-424-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEINBERG",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "34232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G295170",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2041863",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.