Active NPI
Jerome Richards MD Inc
- Anesthesiology Physician
- Modesto, CA
National Provider Identifier
1750939781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- JEROME RICHARDS MD INC
- Practice address
- 609 E Orangeburg Ave BLDG B
Modesto, CA 95350-5512 - Phone
- (559) 436-0871
- Fax
- (559) 436-5221
- NPI assigned
- Sep 3, 2019
- Last updated
- Sep 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerome R Richards, MD
- Title
- President
- Phone
- (559) 437-5645
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
609 E Orangeburg Ave BLDG B
Modesto, CA 95350-5512
Mailing address
7417 N Cedar Ave
Fresno, CA 93720-3637
Phone (559) 436-0871
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Modesto, CA
- NPI 1174540660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567468800000",
"number": "1750939781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7417 N CEDAR AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203637",
"telephone_number": "559-436-0871",
"fax_number": "559-436-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E ORANGEBURG AVE BLDG B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505512",
"telephone_number": "559-436-0871",
"fax_number": "559-436-5221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME RICHARDS MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "JEROME",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-437-5645",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.