Individual provider Active NPI

Richard W. Reitherman, MEDICAL DOCTOR

  • Diagnostic Radiology Physician
  • Fountain Valley, CA
National Provider Identifier
1528058351
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G42404 Issued in CA
Practice address
9900 Talbert Ave
Suite #102
Fountain Valley, CA 92708-5153
Phone
(714) 378-7955
Fax
(626) 447-1058
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X G42404 CA
Nuclear Radiology Physician 2085N0904X G42404 CA
Diagnostic Radiology Physician 2085R0202X G42404 CA Primary
Diagnostic Ultrasound Physician 2085U0001X G42404 CA

Addresses

Primary practice location

9900 Talbert Ave
Suite #102
Fountain Valley, CA 92708-5153

Mailing address

223 N 1St Ave
Suite #201
Arcadia, CA 91006-7089
Phone (626) 698-7246

Other identifiers 2

IdentifierTypeStateIssuer
00G424040MedicaidCA
1528058351OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927000293 CA Practitioner - Diagnostic Radiology 4880663988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians

Practice addresses (Care Compare)

Laguna Beach, CA 92651
Phone (626) 701-5853

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.72
Promoting interoperability
96
Improvement activities
40
Cost
74.86

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
86
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Hill Medical Corporation Body Imaging Current Accepting new patients
The Hill Medical Corporation Body Imaging CurrentSince Dec 1, 2005 Accepting new patients
The Huntington Medical Foundation Diagnostic Radiology CurrentSince Sep 8, 2023 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Aug 14, 2016 Accepting new patients
The Hill Medical Corporation Body Imaging CurrentSince Dec 1, 2005 Accepting new patients
Breast Specialists Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Saddleback Magnetic Resonance Imaging Medical Group Past Accepting new patients
Lpmi Long Beach LLC Diagnostic Radiology Past Accepting new patients

Locations

223 N 1st Ave
Ste 201
Arcadia, CA 91006
Phone (626) 821-1411

301 W Huntington Dr
Ste 617
Arcadia, CA 91007
Phone (626) 247-2250

9900 Talbert Ave
Ste 102
Fountain Valley, CA 92708
Phone (714) 378-7000

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

7055 Yorktown Ave
Ste 102
Huntington Beach, CA 92648
Phone (714) 378-7955

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

625 S Fair Oaks Ave
Ste 180
Pasadena, CA 91105
Phone (626) 229-8969

751 Cordova St
Pasadena, CA 91101
Phone (626) 229-8969

625 S Fair Oaks Ave
Ste 140
Pasadena, CA 91105
Phone (626) 698-7240

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

65 N Madison Ave
Lowr
Pasadena, CA 91101
Phone (626) 793-8189

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1528058351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE",
            "address_2": "SUITE #201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067089",
            "telephone_number": "626-698-7246",
            "fax_number": "626-447-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE",
            "address_2": "SUITE #102",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-7955",
            "fax_number": "626-447-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITHERMAN",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "G42404",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "G42404",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G42404",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "G42404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G424040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1528058351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.