Active NPI
Kenneth Rich, MD
- Emergency Medicine Physician
- Santa Ana, CA
National Provider Identifier
1801816004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A50272
- Practice address
- 1401 N Tustin Ave
Ste 130
Santa Ana, CA 92705-8644 - Phone
- (714) 542-3008
- Fax
- (714) 542-3617
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A50272 | CA | Primary |
Addresses
Primary practice location
1401 N Tustin Ave
Ste 130
Santa Ana, CA 92705-8644
Mailing address
506 16TH St
Huntington Beach, CA 92648-4014
Phone (714) 374-9111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930128601 | Other | CA | RAILROAD MEDICARE |
| 00A502720 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50272 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Continuum Medical Associates,a Professional Medical Corporation | Emergency Medicine | Past | Accepting new patients |
| Maged a. Tanios, MD, Inc | Past | Accepting new patients | |
| Jse Emergency Medical Group | Emergency Medicine | Past | Accepting new patients |
| Southern California Pulmonologists and Intensivists Network | Past | Accepting new patients | |
| Gap Medical Equipment Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Personal Emergency Response Attendant
- Paramount, CA
- NPI 1760541072
Emergency Medicine
-
- Durable Medical Equipment & Medical Supplies
- North Hollywood, CA
- NPI 1710277819
-
- Emergency Medicine Physician
- Hawaiian Gardens, CA
- NPI 1851348486
-
- Specialist
- Long Beach, CA
- NPI 1710040936
-
- Pulmonary Disease Physician
- Long Beach, CA
- NPI 1053852376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1801816004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 16TH ST",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926484014",
"telephone_number": "714-374-9111",
"fax_number": "714-374-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 N TUSTIN AVE",
"address_2": "STE 130",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058644",
"telephone_number": "714-542-3008",
"fax_number": "714-542-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A50272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930128601",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A502720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.