Individual provider Active NPI

Kristen Anne Richards, M.D.

  • Dermatology Physician
  • La Jolla, CA
National Provider Identifier
1386657195
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A74648 Issued in CA
Practice address
9850 Genesee Ave
Suite 460
La Jolla, CA 92037-1228
Phone
(858) 362-8800
Fax
(858) 362-8803
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A74648 CA Primary
MOHS-Micrographic Surgery Physician 207ND0101X A74648 CA

Addresses

Primary practice location

9850 Genesee Ave
Suite 460
La Jolla, CA 92037-1228

Mailing address

9850 Genesee Ave Ste 460
La Jolla, CA 92037-1228
Phone (858) 362-8800

Other identifiers 1

IdentifierTypeStateIssuer
A74648OtherCAMEDICAL LICENSE

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
I20100816000621 CA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0042286239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrey Pines Dermatology a Medical CorporationGroup PAC ID 5597731786, 3 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
Suite 460
La Jolla, CA 92037-1228
Phone (858) 362-8800

Merit-based Incentive Payment System (MIPS)

Final score
82.84 of 100Reported as individual
Quality
82.98
Promoting interoperability
74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision88
Removal of tissue15
Removal of skin lesions411
Removal of skin cancer592
Removal or shaving of skin growth1-10
Skin biopsy237

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Torrey Pines Dermatology a Medical Corporation Dermatology CurrentSince May 5, 2003 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients

Locations

9850 Genesee Ave
Ste 460
La Jolla, CA 92037
Phone (858) 362-8800

Interoperability endpoints

  • Direct secure messaging: krichards81517@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1386657195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 460",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371228",
            "telephone_number": "858-362-8800",
            "fax_number": "858-362-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 460",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371228",
            "telephone_number": "858-362-8800",
            "fax_number": "858-362-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A74648",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A74648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A74648",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.