Individual provider Active NPI

Rebecca Richmond

  • Family Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1356822951
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009783 Issued in CA
Practice address
2755 Alamo St Ste 201
Simi Valley, CA 93065-1311
Phone
(805) 578-9620
Fax
(805) 583-1937
NPI assigned
Aug 22, 2018
Last updated
Apr 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A117656 IA
Family Nurse Practitioner 363LF0000X 95009783 CA Primary

Addresses

Primary practice location

2755 Alamo St Ste 201
Simi Valley, CA 93065-1311

Mailing address

4368 Cedarmeadow CT
Moorpark, CA 93021-2740
Phone (641) 831-0436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201228001998 CA Practitioner - Nurse Practitioner 9436562055 Reassigns benefits to 1 organization
I20221221003237 AZ Practitioner - Nurse Practitioner 9436562055 Reassigns benefits to 1 organization
I20221223000006 WA Practitioner - Nurse Practitioner 9436562055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304

2755 Alamo St
Suite 201
Simi Valley, CA 93065-1311
Phone (805) 578-9620

2950 Sycamore Dr
Simi Valley, CA 93065-1210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A117656IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jan 1, 2021 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2021 Accepting new patients
Southern Arizona Urgent Care LLC Current Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Sep 13, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 13, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 13, 2022 Accepting new patients
Alta California Medical Group, Inc. CurrentSince May 4, 2024 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

2755 Alamo St
Ste 201
Simi Valley, CA 93065
Phone (805) 210-7280

2950 Sycamore Dr
Ste 200
Simi Valley, CA 93065
Phone (661) 705-9706

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rebecca.richmond.p7@direct.regal.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1356822951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 CEDARMEADOW CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212740",
            "telephone_number": "641-831-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST STE 201",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651311",
            "telephone_number": "805-578-9620",
            "fax_number": "805-583-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A117656",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.