Active NPI
Hilda Riderer, D.O.
- Internal Medicine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14289
- Practice address
- 4650 Lincoln Blvd
Marina del Rey, CA 90292-6306 - Phone
- (310) 823-8911
- NPI assigned
- Oct 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14289 | CA | Primary |
Addresses
Primary practice location
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Mailing address
PO Box 54679
Los Angeles, CA 90054-0679
Other practice location 1
2776 Pacific Ave
Long Beach, CA 90806-2613
Phone (562) 997-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (818) 528-1044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Springs Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| Epic Medical Group,Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Group of Montebello Inc | Current | Accepting new patients | |
| Sunrise Medical Associates Inc | Past | Accepting new patients |
Locations
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
501 W Glenoaks Blvd
Ste 26
Glendale, CA 91202
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 528-1222
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
Interoperability endpoints
- https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
- ridererh@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Sherman Oaks, CA
- NPI 1295178689
-
- Hospitalist Physician
- Glendale, CA
- NPI 1245799279
-
- Hospitalist Physician
- Corona, CA
- NPI 1578959318
-
- Hospitalist Physician
- Corona, CA
- NPI 1568858306
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington Beach, CA
- NPI 1083622120
-
- General Acute Care Hospital
- Lynwood, CA
- NPI 1114547114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1710358791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54679",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900540679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926306",
"telephone_number": "310-823-8911"
}
],
"practiceLocations": [
{
"address_1": "2776 Pacific Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908062613",
"country_code": "US",
"telephone_number": "562-997-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDERER",
"first_name": "HILDA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "14289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.