Active NPI
Richard Alan Gould, M.D.
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1275547705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G52934
- Practice address
- 650 Howe Ave Ste 100
Sacramento, CA 95825-4732 - Phone
- (916) 924-9337
- Fax
- (916) 924-8281
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G52934 | CA | Primary |
Addresses
Primary practice location
650 Howe Ave Ste 100
Sacramento, CA 95825-4732
Mailing address
24422 Avenida de la Carlota Ste 380
Laguna Hills, CA 92653-3628
Phone (949) 599-2434
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 |
|---|---|---|---|---|
| I20140328000379 | CA | Order and Referring Only - Pediatric Medicine | 0042441446 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52934 | CA | MD | Pharmacist |
| G52934 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Medical Associates of Sacramento Inc | Pediatrics | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients |
Interoperability endpoints
- rgould30150@hisp.ehr.sutterhealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
dba Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
dba Pediatric Associates
- Pediatrics Physician
- Sacramento, CA
- NPI 1760570600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1275547705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24422 AVENIDA DE LA CARLOTA STE 380",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533628",
"telephone_number": "949-599-2434",
"fax_number": "949-599-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HOWE AVE STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254732",
"telephone_number": "916-924-9337",
"fax_number": "916-924-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "RICHARD",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G52934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.