Active NPI
Donald James Richardson, D.C.
- Sports Physician Chiropractor
- Toluca Lake, CA
National Provider Identifier
1427384882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC-31240
- Practice address
- 10628 Riverside Dr
Ste. #5
Toluca Lake, CA 91602-2358 - Phone
- (818) 508-6188
- Fax
- (818) 508-8405
- NPI assigned
- Oct 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC-31240 | CA | Primary |
Addresses
Primary practice location
10628 Riverside Dr
Ste. #5
Toluca Lake, CA 91602-2358
Mailing address
319 W Lambert Rd
Apt. # 25
Brea, CA 92821-4058
Phone (818) 681-4196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-31240 | CA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California University of Health Sciences | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Whittier, CA
- NPI 1881764322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1427384882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 W LAMBERT RD",
"address_2": "APT. # 25",
"city": "BREA",
"state": "CA",
"postal_code": "928214058",
"telephone_number": "818-681-4196",
"fax_number": "562-902-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 RIVERSIDE DR",
"address_2": "STE. #5",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022358",
"telephone_number": "818-508-6188",
"fax_number": "818-508-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "DONALD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC-31240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toluca Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.