Individual provider Active NPI

Richard P. Knudsen, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Novato, CA
National Provider Identifier
1407032824
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
G43057 Issued in CA
Practice address
100 Rowland Way, Suite 300
Pulmonary and Sleep Associates of Marin
Novato, CA 94945
Phone
(415) 878-0225
Fax
(415) 878-0215
NPI assigned
Jan 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G43057 CA
Pediatric Sleep Medicine Physician 2080S0012X G43057 CA
Neurology Physician 2084N0400X G43057 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X G43057 CA
Clinical Neurophysiology Physician 2084N0600X G43057 CA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X G43057 CA Primary

Addresses

Primary practice location

100 Rowland Way, Suite 300
Pulmonary and Sleep Associates of Marin
Novato, CA 94945

Mailing address

100 Rowland Way, Suite 300
Pulmonary and Sleep Associates of Marin
Novato, CA 94945
Phone (415) 878-0225

Other identifiers 2

IdentifierTypeStateIssuer
11644674248OtherCANPI
262657160OtherCATAX ID

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
I20110207000693 CA Practitioner - NeurologyPractitioner - Pediatric Medicine 6901829092 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G43057CAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Sep 16, 2018 Accepting new patients
County of Santa Clara CurrentSince Sep 16, 2018 Accepting new patients
County of Santa Clara CurrentSince Sep 16, 2018 Accepting new patients
County of Santa Clara Pediatrics Current Accepting new patients
County of Santa Clara Current Accepting new patients
Pacific Sleep Tech Inc CurrentSince Jun 1, 2018 Accepting new patients
County of Santa Clara CurrentSince Sep 16, 2018 Accepting new patients
Feather River Hospital PastSince Jun 12, 2011 Accepting new patients
Geisinger Clinic Past Accepting new patients
Children'S Hospital & Regional Medical Center 2 Past Accepting new patients
The Association of Chrmc and University Physicians Pediatrics Past Accepting new patients
Feather River Hospital Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Organizations & group practices 12

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1407032824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROWLAND WAY, SUITE 300",
            "address_2": "PULMONARY AND SLEEP ASSOCIATES OF MARIN",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94945",
            "telephone_number": "415-878-0225",
            "fax_number": "415-878-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROWLAND WAY, SUITE 300",
            "address_2": "PULMONARY AND SLEEP ASSOCIATES OF MARIN",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94945",
            "telephone_number": "415-878-0225",
            "fax_number": "415-878-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "RICHARD",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G43057",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "CA",
            "license": "G43057",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G43057",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "G43057",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "G43057",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "G43057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "11644674248",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "262657160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.