Active NPI
James Richardson MD Inc
- Critical Care Medicine (Internal Medicine) Physician
- Bishop, CA
National Provider Identifier
1689928046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- JAMES RICHARDSON MD INC
- Practice address
- 307 Academy St
Bishop, CA 93514-2603 - Phone
- (760) 873-3331
- Fax
- (760) 873-8567
- NPI assigned
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James A Richardson, M.D.
- Title
- Owner
- Phone
- (760) 873-3331
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary |
Addresses
Primary practice location
307 Academy St
Bishop, CA 93514-2603
Mailing address
307 Academy St
Bishop, CA 93514-2603
Phone (760) 873-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130114000242 | CA | Part B Supplier - Clinic/Group Practice | 0941453476 |
Receives reassigned benefits from 1 practitioner Practice locations: Bishop, CA |
National Provider Directory
National Provider DirectoryLocations
307 Academy St
Bishop, CA 93514
Phone (760) 873-3331
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355788800000",
"number": "1689928046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 ACADEMY ST",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142603",
"telephone_number": "760-873-3331",
"fax_number": "760-873-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 ACADEMY ST",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142603",
"telephone_number": "760-873-3331",
"fax_number": "760-873-8567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES RICHARDSON MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2012-12-18",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-873-3331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.