Active NPI
Richard a. Ott, MD, Inc.
- Specialist
- Anaheim, CA
National Provider Identifier
1346469020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G45864
- Legal business name
- RICHARD A. OTT, MD, INC.
- Practice address
- 1211 W la Palma Ave Ste 608
Anaheim, CA 92801-2813 - Phone
- (714) 774-1102
- Fax
- (949) 459-0100
- NPI assigned
- Apr 24, 2007
- 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
- Richard Alan Ott, MD
- Title
- Physician/Surgeon
- Phone
- (714) 774-1102
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G45864 | CA | Primary |
Addresses
Primary practice location
1211 W la Palma Ave Ste 608
Anaheim, CA 92801-2813
Mailing address
PO Box 9036
Newport Beach, CA 92658-1036
Phone (714) 774-1102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0095360 | Other | CA | CAL-OPTIMA |
| GR0095360 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
801 N Tustin Ave
Ste 305
Santa Ana, CA 92705
Phone (714) 544-6580
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Anaheim, CA
- NPI 1821004144
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Orange, CA
- NPI 1720004690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659744000000",
"number": "1346469020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9036",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926581036",
"telephone_number": "714-774-1102",
"fax_number": "949-459-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE STE 608",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012813",
"telephone_number": "714-774-1102",
"fax_number": "949-459-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A. OTT, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A",
"authorized_official_last_name": "OTT",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PHYSICIAN/SURGEON",
"authorized_official_telephone_number": "714-774-1102",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G45864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAL-OPTIMA",
"identifier": "GR0095360",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0095360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.