Active NPI
Richard Marvin Protzel, M.D.
- Anatomic Pathology Physician
- Beverly Hills, CA
National Provider Identifier
1508988122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- G10932
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G10932 | CA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Medical Laboratory
- Beverly Hills, CA
- NPI 1518006014
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.