Justin Richardson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

40798 Issued in CA

Practice address

22110 Roscoe Blvd
Suite 304
West Hills, CA 91304-3845

Phone

(818) 703-1883

Fax

(818) 703-9911

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Leading Medical Group Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • West Hills, CA
  • NPI 1275992711
  NPD (past)
• Mani Sports Chiropractic Inc

  • Chiropractor
  • West Hills, CA
  • NPI 1649677279
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386841443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280567",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913280567",
            "telephone_number": "818-703-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 304",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-703-1883",
            "fax_number": "818-703-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "40798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Felipe Reyes, MD
• Shahriar Rezania, PHARM.D
• Mona Rezapour, M.D.
• Lisa J Rhode, N.P.
• Richard M. Cooper, D.P.M., Inc.
• Right Away Inc
• Hanon Awad Rinke, M.A.,MFT
• Gabriel Alfonso Rivera Jr., D.D.S.
• Robert Martin Roach, MD
• Robert Fields M D & Evan J Bachner M D

• Chiropractor in West Hills, CA
• Providers in West Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.