Active NPI
Richard Edward Ward, M.D.
- Vascular Surgery Physician
- Sacramento, CA
National Provider Identifier
1841218690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- C036882
- Practice address
- 3941 J St 362
Sacramento, CA 95819-3633 - Phone
- (916) 733-0660
- Fax
- (916) 733-0664
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | C036882 | CA | Primary |
Addresses
Primary practice location
3941 J St 362
Sacramento, CA 95819-3633
Mailing address
3941 J St 362
Sacramento, CA 95819-3633
Phone (916) 733-0660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330001490 | Other | RAILROAD MEDICARE | |
| GR0049280 | Medicaid | CA | |
| 11469632 | Other | CAQH |
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 |
|---|---|---|---|
| C036882 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert Z. Owens, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Sacramento, CA
- NPI 1275717985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1841218690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3941 J ST 362",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193633",
"telephone_number": "916-733-0660",
"fax_number": "916-733-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3941 J ST 362",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193633",
"telephone_number": "916-733-0660",
"fax_number": "916-733-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "RICHARD",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "C036882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "330001490",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0049280",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11469632",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.