Organization Active NPI

Richard a Bermudes, MD PC

  • Psychiatry Physician
  • Zephyr Cove, NV
National Provider Identifier
1740069996
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RICHARD A BERMUDES, MD PC
Practice address
210 Elks Point Rd Ste 103
Zephyr Cove, NV 89448-9801
Phone
(775) 380-8574
Fax
(775) 298-8102
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Dr. Richard A BermudesNPI 1518940774
Title
Owner/Ceo
Phone
(916) 837-7394

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

210 Elks Point Rd Ste 103
Zephyr Cove, NV 89448-9801

Mailing address

369B 3Rd St # 386
San Rafael, CA 94901-3581
Phone (415) 906-5337

National Provider Directory

National Provider Directory

Locations

369 3rd St
Ste B
San Rafael, CA 94901
Phone (415) 375-0374

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1740069996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369B 3RD ST # 386",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013581",
            "telephone_number": "415-906-5337",
            "fax_number": "415-406-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ELKS POINT RD STE 103",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894489801",
            "telephone_number": "775-380-8574",
            "fax_number": "775-298-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A BERMUDES, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "BERMUDES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "916-837-7394",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyr Cove, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.