Active NPI
Richard J Ferro, MD
- Family Medicine Physician
- Harbor City, CA
National Provider Identifier
1770166969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A188033
- Practice address
- 1403 Lomita Blvd Ste 200
Harbor City, CA 90710-2086 - Phone
- (310) 602-2550
- Fax
- (310) 326-7205
- NPI assigned
- May 4, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A188033 | CA | Primary |
Addresses
Primary practice location
1403 Lomita Blvd Ste 200
Harbor City, CA 90710-2086
Mailing address
2200 John St
Manhattan Beach, CA 90266-2614
Phone (310) 916-5155
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903000080 | CA | Order and Referring Only - Family Practice | 4284173469 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A188033 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1770166969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JOHN ST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662614",
"telephone_number": "310-916-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 LOMITA BLVD STE 200",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907102086",
"telephone_number": "310-602-2550",
"fax_number": "310-326-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRO",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-04",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A188033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.