Individual provider Active NPI

Richard Marvin Protzel, M.D.

  • Anatomic Pathology Physician
  • Beverly Hills, CA
National Provider Identifier
1508988122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
G10932 Issued in CA
Practice address
9735 Wilshire Blvd Ste 249
Beverly Hills, CA 90212-2107
Phone
(310) 858-0874
Fax
(310) 858-0983
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X G10932 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd Ste 249
Beverly Hills, CA 90212-2107

Mailing address

226 S Peck Dr
Beverly Hills, CA 90212-3713
Phone (310) 284-8454

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G10932CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Protzel MD, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508988122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S PECK DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123713",
            "telephone_number": "310-284-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 249",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-858-0874",
            "fax_number": "310-858-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTZEL",
        "first_name": "RICHARD",
        "middle_name": "MARVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "G10932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • 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.