Active NPI
Richard Windom
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1790088763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1361 Exposition Blvd.
Los Angeles, CA 90018 - Phone
- (323) 216-2252
- NPI assigned
- Dec 14, 2010
- Last updated
- Dec 14, 2010
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1361 Exposition Blvd.
Los Angeles, CA 90018
Mailing address
1361 Exposition Blvd.
Los Angeles, CA 90018
Phone (323) 216-2252
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1790088763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1361 EXPOSITION BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90018",
"telephone_number": "323-216-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1361 EXPOSITION BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90018",
"telephone_number": "323-216-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDOM",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Laurie L Windle, PH.D.
- Gerald Windler, M.D
- Regina Jenise Windley
- Folasade Windokun, MSW
- Eugene Windom
- Windsor Cheviot Hills, LLC (Windsor Care Center of Cheviot Hills)
- Windsor Gardens Convalescent Hospital, Inc (Windsor Gardens Convalescent Hospital of Los Angeles)
- Windsor Hall Care Home
- Windsor Medical Center Inc
- Cynthia Windsor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.