Active NPI
Richard L Muller, M.D.
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1326078627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G425660
- Practice address
- 173 N Morrison Ave
Suite C
San Jose, CA 95126-2712 - Phone
- (408) 998-4312
- Fax
- (408) 293-0213
- NPI assigned
- Jul 3, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G425660 | CA | Primary |
Addresses
Primary practice location
173 N Morrison Ave
Suite C
San Jose, CA 95126-2712
Mailing address
173 N Morrison Ave
Suite C
San Jose, CA 95126-2712
Phone (408) 998-4312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080095950 | Other | CA | MEDICARE RR |
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 |
|---|---|---|---|---|
| I20080523000466 | CA | Practitioner - Family Practice | 8325117815 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G425660 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Sports and Preventive Medicine Associates, Inc. | Current | Accepting new patients |
Locations
550 S Winchester Blvd
Ste 100
San Jose, CA 95128
Phone (408) 556-8407
900 Lafayette St
Ste 105
Santa Clara, CA 95050
Phone (408) 556-8407
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1861554099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1326078627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 N MORRISON AVE",
"address_2": "SUITE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262712",
"telephone_number": "408-998-4312",
"fax_number": "408-293-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 N MORRISON AVE",
"address_2": "SUITE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262712",
"telephone_number": "408-998-4312",
"fax_number": "408-293-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G425660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "080095950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.