Organization Active NPI

Richard B Williams PHD MD Inc

  • Internal Medicine Physician
  • South Pasadena, CA
National Provider Identifier
1225289788
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G58242 Issued in CA
Legal business name
RICHARD B WILLIAMS PHD MD INC
Practice address
630 Mission St
Suite 1
South Pasadena, CA 91030-3038
Phone
(626) 799-3616
Fax
(626) 799-4001
NPI assigned
Oct 2, 2008
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Richard B Williams, M.D.
Title
President
Phone
(626) 799-3616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G58242 CA Primary

Addresses

Primary practice location

630 Mission St
Suite 1
South Pasadena, CA 91030-3038

Mailing address

PO Box 800817
Santa Clarita, CA 91380-0817
Phone (661) 295-0859

Other identifiers 1

IdentifierTypeStateIssuer
PRESIDENT LICENSE#OtherCAG58242

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1225289788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800817",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913800817",
            "telephone_number": "661-295-0859",
            "fax_number": "661-295-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MISSION ST",
            "address_2": "SUITE 1",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303038",
            "telephone_number": "626-799-3616",
            "fax_number": "626-799-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B WILLIAMS PHD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-799-3616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G58242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G58242",
            "identifier": "PRESIDENT LICENSE#",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.