NPIMap

Organization Active NPI

Henry a. Richardson, MD a Medical Corporation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chula Vista, CA
National Provider Identifier
1447768197
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
HENRY A. RICHARDSON, MD A MEDICAL CORPORATION
Practice address
553 F St
Chula Vista, CA 91910-3515
Phone
(619) 426-8611
NPI assigned
Jan 16, 2018
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Dr. Henry Richardson, MDNPI 1407052459
Title
Owner/MD
Phone
(909) 709-5646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

553 F St
Chula Vista, CA 91910-3515

Mailing address

1180 Rosecrans St Ste 607
San Diego, CA 92106-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230726000467 CA Part B Supplier - Clinic/Group Practice 0749537801 Receives reassigned benefits from 14 practitioners
Practice locations: San Diego, CA
O20250708001086 OH Part B Supplier - Clinic/Group Practice 0749537801 Receives reassigned benefits from 4 practitioners
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

1180 Rosecrans St
San Diego, CA 92106

1004 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 677-1300

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1447768197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 ROSECRANS ST STE 607",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103515",
            "telephone_number": "619-426-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY A. RICHARDSON, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "909-709-5646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.