Individual provider Active NPI

Richard Bardowell, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1790796753
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A41037 Issued in CA
Practice address
815 S Ardmore Ave FL 1
Los Angeles, CA 90005-2597
Phone
(818) 209-7575
Fax
(818) 217-8564
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A41037 CA Primary

Addresses

Primary practice location

815 S Ardmore Ave FL 1
Los Angeles, CA 90005-2597

Mailing address

815 S Ardmore Ave FL 1
Los Angeles, CA 90005-2597
Phone (818) 209-7575

Other identifiers 1

IdentifierTypeStateIssuer
00A410370MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217002229 CA Practitioner - General PracticePractitioner - Obstetrics/Gynecology 2466769898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A41037CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince May 5, 2025 Accepting new patients
Richard Bardowell MD Inc CurrentSince Mar 1, 2020 Accepting new patients
Central City Community Health Center Inc CurrentSince May 5, 2025 Accepting new patients
Sylmar Medical Group Physician Assistant Inc CurrentSince Feb 25, 2024 Accepting new patients
Bard Healthcare Inc. CurrentSince Nov 21, 2023 Accepting new patients
Central City Community Health Center Inc Current Accepting new patients
Kwang He Won Health Center CurrentSince Feb 15, 2021 Accepting new patients
Aurea Medi Inc Current Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

2701 W Alameda Ave
Ste 303
Burbank, CA 91505
Phone (818) 845-0088

500 E Olive Ave
Ste 420
Burbank, CA 91501
Phone (818) 566-9947

815 S Ardmore Ave
Ste 1
Los Angeles, CA 90005

815 S Ardmore Ave
Fl 1
Los Angeles, CA 90005
Phone (213) 385-0448

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

13749 Foothill Blvd
Sylmar, CA 91342
Phone (818) 617-0253

6331 Greenleaf Ave
Ste B
Whittier, CA 90601
Phone (562) 360-1556

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDCD

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1790796753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S ARDMORE AVE FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052597",
            "telephone_number": "818-209-7575",
            "fax_number": "818-217-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S ARDMORE AVE FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052597",
            "telephone_number": "818-209-7575",
            "fax_number": "818-217-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDOWELL",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A41037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A410370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.