Individual provider Active NPI

Richard Cletus Palmer, M.D.

  • Psychiatry Physician
  • Torrance, CA
National Provider Identifier
1881873081
Registry record updated May 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C33603 Issued in CA
Practice address
23430 Hawthorne Blvd Ste 220
Torrance, CA 90505-4758
Phone
(310) 373-6691
NPI assigned
Oct 24, 2007
Last updated
May 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C33603 CA Primary

Addresses

Primary practice location

23430 Hawthorne Blvd Ste 220
Torrance, CA 90505-4758

Mailing address

23430 Hawthorne Blvd Ste 220
Torrance, CA 90505-4758
Phone (310) 373-6691

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
I20080102000401 CA Practitioner - Psychiatry 1456431584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 1970
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23430 Hawthorne Blvd
Suite 220
Torrance, CA 90505-4758
Phone (310) 373-6691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C33603CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C Palmer MD a Medical Corporation Psychiatry CurrentSince Apr 9, 1979 Accepting new patients

Locations

23430 Hawthorne Blvd
Ste 220
Torrance, CA 90505
Phone (310) 373-6151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400284800000",
    "number": "1881873081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD STE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054758",
            "telephone_number": "310-373-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD STE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054758",
            "telephone_number": "310-373-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "RICHARD",
        "middle_name": "CLETUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2014-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C33603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.