Organization Active NPI

H Richard Casdorph MD Inc

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1700194537
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C23386 Issued in CA
Legal business name
H RICHARD CASDORPH MD INC
Practice address
1703 Termino Ave
Suite 201
Long Beach, CA 90804-2124
Phone
(562) 597-8716
NPI assigned
Sep 14, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. Herman Richard Casdorph, M.D.
Title
C.E.O
Phone
(562) 597-8716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C23386 CA Primary

Addresses

Primary practice location

1703 Termino Ave
Suite 201
Long Beach, CA 90804-2124

Mailing address

1703 Termino Ave
Suite 201
Long Beach, CA 90804-2124
Phone (562) 597-8716

Other identifiers 1

IdentifierTypeStateIssuer
C23386OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1703 Termino Ave
Ste 201
Long Beach, CA 90804
Phone (562) 597-8716

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1700194537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE",
            "address_2": "SUITE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042124",
            "telephone_number": "562-597-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE",
            "address_2": "SUITE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042124",
            "telephone_number": "562-597-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H RICHARD CASDORPH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "CASDORPH",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "562-597-8716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C23386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C23386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.