Active NPI
Richard B Williams PHD MD Inc
- Internal Medicine Physician
- South Pasadena, CA
National Provider Identifier
1225289788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G58242
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PRESIDENT LICENSE# | Other | CA | G58242 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- South Pasadena, CA
- NPI 1548234479
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.