Richard Edward Petrucci Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

165960 Issued in NY

Practice address

1150 S Olive St Ste 1200
Los Angeles, CA 90015-2211

Phone

(213) 444-9977

NPI assigned

Aug 21, 2025

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CHS Ipa Inc

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1669342796
  NPD

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1659259489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S OLIVE ST STE 1200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152211",
            "telephone_number": "213-444-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S OLIVE ST STE 1200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152211",
            "telephone_number": "213-444-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCCI",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelica Petrovic
• Lidija Petrovic, MD
• Nataly Seka Petrovic, LCSW
• Madalyn Marie Petrovich, M.S., CCC-SLP
• Henrik Petrowsky, MD
• Bertha Alexis Pettaway, LCSW
• Moritz Sebastian Pettenkofer, MD
• Regina Petterson, PSY.D.
• Andrea Marie Pettett, ACSW
• Gayane Elizabeth Pettibone

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.