Active NPI
Shawn Richmond
- Technician/Technologist
- Anaheim, CA
National Provider Identifier
1649605411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 8292
- Practice address
- 813 N Lenz Dr
Anaheim, CA 92805-1728 - Phone
- (562) 526-4278
- NPI assigned
- Sep 11, 2013
- Last updated
- May 9, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 8292 | CA | Primary |
| Other Specialist/Technologist | 246Z00000X | NU |
Addresses
Primary practice location
813 N Lenz Dr
Anaheim, CA 92805-1728
Mailing address
813 N Lenz Dr
Anaheim, CA 92805-1728
Phone (562) 526-4278
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8292 | CA | MD | Technician/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroelite Services LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Neurophysiology Physician
- Anaheim, CA
- NPI 1336924133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1649605411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 N LENZ DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928051728",
"telephone_number": "562-526-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 N LENZ DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928051728",
"telephone_number": "562-526-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "SHAWN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "CA",
"license": "8292",
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.