Individual provider Active NPI

Richard Guynn King

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1699312967
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
9375 Archibald Ave Ste 107
Rancho Cucamonga, CA 91730-5728
Phone
(909) 825-8080
Fax
(909) 292-4532
NPI assigned
Dec 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

9375 Archibald Ave Ste 107
Rancho Cucamonga, CA 91730-5728

Mailing address

9375 Archibald Ave Ste 107
Rancho Cucamonga, CA 91730-5728
Phone (909) 825-8080

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

Practice roles

OrganizationSpecialtyStatusNew patients
Onc Mental Health Inc Marriage & Family Therapist CurrentSince Jul 21, 2024 Accepting new patients
Outreach Nation Clinics Marriage & Family Therapist CurrentSince Aug 23, 2020 Accepting new patients

Locations

9375 Archibald Ave
Ste 107
Rancho Cucamonga, CA 91730
Phone (909) 825-8080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1699312967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE STE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305728",
            "telephone_number": "909-825-8080",
            "fax_number": "909-292-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE STE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305728",
            "telephone_number": "909-825-8080",
            "fax_number": "909-292-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RICHARD",
        "middle_name": "GUYNN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.