Jeffrey R. Richardson M D

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G38557 Issued in CA

Legal business name

JEFFREY R. RICHARDSON M D

Practice address

2660 E Main St Ste 104
Ventura, CA 93003-2893

Phone

(805) 648-4425

Fax

(805) 648-4426

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey R. Richardson, M D

Title

Owner

Phone

(805) 648-4425

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1851585772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 E MAIN ST STE 104",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032893",
            "telephone_number": "805-648-4425",
            "fax_number": "805-648-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 E MAIN ST STE 104",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032893",
            "telephone_number": "805-648-4425",
            "fax_number": "805-648-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R. RICHARDSON M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-648-4425",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G38557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC#",
            "identifier": "G038557",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.