Richard John Meyers, SUDRC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

13276 Issued in CA

Practice address

737 E Grand Ave
Escondido, CA 92025-4404

Phone

(760) 745-8478

NPI assigned

May 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Fellowship Center Alcohol Services Program, Inc.

  • Substance Abuse Rehabilitation Facility
  • Escondido, CA
  • NPI 1902808744
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1619614880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254404",
            "telephone_number": "760-745-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 E GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254404",
            "telephone_number": "760-745-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "SUDRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "13276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Rachelle Meyer-Cohon, DACM, L.AC.
• Joan Marie Meyer, D.P.M.
• Brian Meyerhoff, M.D.
• Danielle Meyers
• Judith S Meyers, AGACNP-BC
• Theresa Elena Meza
• Michael Ho Dental Corporation
• Lawrence Leonard Michel, DDS
• Miguel Montoya DDS, Inc
• Kimberly Lee Milan

• Peer Specialist in Escondido, CA
• Providers in Escondido, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.