Active NPI
Richard F Prince, M.D.
- Emergency Medicine Physician
- San Diego, CA
National Provider Identifier
1740282672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G20729
- Practice address
- 3434 Midway Dr
Ste 1002
San Diego, CA 92110-4923 - Phone
- (619) 225-6200
- Fax
- (619) 225-6208
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G20729 | CA | Primary |
Addresses
Primary practice location
3434 Midway Dr
Ste 1002
San Diego, CA 92110-4923
Mailing address
PO Box 28247
Tempe, AZ 85285-8247
Phone (480) 967-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G207290 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G20729 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melvin a. Ochs, M.D., Medica Corp | Emergency Medicine | Past | Accepting new patients |
| Richard F Prince M D Inc | Emergency Medicine | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1740282672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28247",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852858247",
"telephone_number": "480-967-6500",
"fax_number": "480-967-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 MIDWAY DR",
"address_2": "STE 1002",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104923",
"telephone_number": "619-225-6200",
"fax_number": "619-225-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "RICHARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G20729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G207290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.