Individual provider Active NPI

Richard L Muller, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1326078627
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G425660 Issued in CA
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

Updated by the provider on Feb 19, 2008

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 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

IdentifierTypeStateIssuer
080095950OtherCAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000466 CA Practitioner - Family Practice 8325117815

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G425660CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Sports and Preventive Medicine Associates, Inc. CurrentSince Nov 23, 2010 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.

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

Verify at the official NPI Registry.