Individual provider Active NPI

Rand Cecil Ritchie, MD

  • Psychiatry Physician
  • Pismo Beach, CA
National Provider Identifier
1851325484
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G41327 Issued in CA
Practice address
354 Main St
Suite C
Pismo Beach, CA 93449-2514
Phone
(805) 773-3343
Fax
(805) 773-3342
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G41327 CA Primary
Addiction Psychiatry Physician 2084P0802X G41327 CA

Addresses

Primary practice location

354 Main St
Suite C
Pismo Beach, CA 93449-2514

Mailing address

354 Main St
Suite C
Pismo Beach, CA 93449-2514
Phone (805) 773-3343

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
I20080721000600 CA Practitioner - PsychiatryPractitioner - Addiction Medicine 9335212588 Practice locations: Pismo Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
University of Nebraska College of Medicine, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

354 Main St
Pismo Beach, CA 93449-2514

354 Main St
Suite C
Pismo Beach, CA 93449-2581
Phone (805) 773-3343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G41327CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1851325484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "address_2": "SUITE C",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492514",
            "telephone_number": "805-773-3343",
            "fax_number": "805-773-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "address_2": "SUITE C",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492514",
            "telephone_number": "805-773-3343",
            "fax_number": "805-773-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "RAND",
        "middle_name": "CECIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G41327",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "G41327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.