Individual provider Active NPI

Richard Eric James Madrid, M.D.

  • Family Medicine Physician
  • Menifee, CA
National Provider Identifier
1194774158
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A84715 Issued in CA
Practice address
30420 Haun Rd
Menifee, CA 92584-6810
Phone
(951) 676-4193
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A84715 CA Primary

Addresses

Primary practice location

30420 Haun Rd
Menifee, CA 92584-6810

Mailing address

28780 Single Oak Dr., Suite 160
Temecula, CA 92590-5528
Phone (951) 676-4193

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
I20050811000931 CA Practitioner - Family Practice 0244269967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

28780 Single Oak Dr
Suite 160
Temecula, CA 92590-5528
Phone (951) 676-4193

Hospital & facility affiliations

  • Horizon Valley Home Health Care Inc Home health agency, Temecula, CA, CCN 059384

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84715CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Nov 16, 2022 Accepting new patients
Rancho Family Medical Group, Inc. Family Medicine CurrentSince Jul 11, 2005 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 16, 2022 Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324

3853 W Stetson Ave
Ste 200
Hemet, CA 92545
Phone (951) 225-6802

82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

30420 Haun Rd
Menifee, CA 92584

27190 Sun City Blvd
Sun City, CA 92586
Phone (951) 723-3804

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

31720 US Highway 79
Ste 100
Temecula, CA 92592
Phone (909) 303-6300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1194774158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR., SUITE 160",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905528",
            "telephone_number": "951-676-4193",
            "fax_number": "951-719-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30420 HAUN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846810",
            "telephone_number": "951-676-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "RICHARD ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A84715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.