Active NPI
Gary A. Richwald, MD
- Internal Medicine Physician
- Venice, CA
National Provider Identifier
1750604666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G31727
- Practice address
- 250 5TH Ave
Venice, CA 90291-2641 - Phone
- (310) 396-2200
- Fax
- (310) 664-9666
- NPI assigned
- Mar 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | G31727 | CA | Primary |
Addresses
Primary practice location
250 5TH Ave
Venice, CA 90291-2641
Mailing address
250 5TH Ave
Venice, CA 90291-2641
Phone (310) 396-2200
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G31727 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1750604666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 5TH AVE",
"city": "VENICE",
"state": "CA",
"postal_code": "902912641",
"telephone_number": "310-396-2200",
"fax_number": "310-664-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 5TH AVE",
"city": "VENICE",
"state": "CA",
"postal_code": "902912641",
"telephone_number": "310-396-2200",
"fax_number": "310-664-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHWALD",
"first_name": "GARY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-05",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G31727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.