NPIMap

Individual provider Active NPI

Edward Paul Richert, M.D.

  • Family Medicine Physician
  • Alturas, CA
National Provider Identifier
1376586529
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G35911 Issued in CA
Practice address
229 McDowell St
Alturas, CA 96101
Phone
(530) 233-7052
Fax
(530) 233-4302
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 G35911 CA Primary

Addresses

Primary practice location

229 McDowell St
Alturas, CA 96101

Mailing address

710 E 5TH St
Alturas, CA 96101-3506
Phone (530) 233-4680

Other identifiers 1

IdentifierTypeStateIssuer
00G359110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000185 CA Practitioner - Family PracticePractitioner - Emergency Medicine 6901989052 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 N Nagle St
Alturas, CA 96101-3840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G35911CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Last Frontier Healthcare District CurrentSince Jul 21, 2009 Accepting new patients
Edward P. Richert, M.D., Inc. Family Medicine Past Accepting new patients
Last Frontier Healthcare District Past Accepting new patients

Locations

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

120 S Main St
Ste A
Alturas, CA 96101
Phone (530) 233-7054

229 W McDowell Ave
Alturas, CA 96101
Phone (530) 233-5131

Interoperability endpoints

  • Direct secure messaging: erichert@mmc.securechart.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Modoc Medical CenterAlturas, CA, CCN 051330 Hospital Contracted Managing Employee
Corporate Officer		 Dec 7, 2007
Jun 1, 2012
Last Frontier Healthcare DistrictAlturas, CA, CCN 555420 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2020
Jan 1, 2020
Jan 1, 2025
Jan 1, 2025
Modoc Medical Center Family Practice ClinicAlturas, CA, CCN 053988 Rural health clinic Corporate Officer Jun 1, 2012
Canby Family Practice ClinicCanby, CA, CCN 058714 Rural health clinic Corporate Officer Jun 1, 2012

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376586529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 5TH ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013506",
            "telephone_number": "530-233-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 MCDOWELL ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "96101",
            "telephone_number": "530-233-7052",
            "fax_number": "530-233-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHERT",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G35911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G359110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alturas, CA

Sources for this page

Verify at the official NPI Registry.