Frederick Allen Richardson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 15724 Issued in CA

Practice address

214 Avenida del Mar
Suite a
San Clemente, CA 92672-5540

Phone

(949) 498-3262

Fax

(949) 498-4718

NPI assigned

Jan 10, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1467502906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 ESTAMPIDA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733223",
            "telephone_number": "949-573-1365",
            "fax_number": "949-498-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 AVENIDA DEL MAR",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725540",
            "telephone_number": "949-498-3262",
            "fax_number": "949-498-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "FREDERICK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 15724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC15724",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ57891Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian James Rice, DDS
• Justine Rice, RBT
• Richard a. Gangnes M.D. Inc.
• Richard P Klimkowski MD PC
• Richardson Chiropractic Inc
• Jessica Ann Riley, DO
• Kristen Leilani Ritzau, DDS
• Steffany Michelle Rivas
• Alex Rivera
• Andrea A Roberson, D.O

• Chiropractor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.