Individual provider Active NPI

Matthew G Richardson, D.C.

  • Chiropractor
  • Valley Springs, CA
National Provider Identifier
1912028812
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 26478 Issued in CA
Practice address
55 S Highway 26 Ste 1
Valley Springs, CA 95252-8422
Phone
(209) 772-8921
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 26478 CA Primary

Addresses

Primary practice location

55 S Highway 26 Ste 1
Valley Springs, CA 95252-8422

Mailing address

PO Box 441
Angels Camp, CA 95222-0441
Phone (209) 772-8921

Other practice location 1

1113 Highway 49
San Andreas, CA 95249
Phone (209) 755-1400

Other practice location 2

305 Preston Ave
Ione, CA 95640-9158
Phone (209) 674-6182

Other practice location 3

13975 Mono Way Ste G
Sonora, CA 95370-2824
Phone (209) 533-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190131001834 CA Practitioner - Chiropractic 6608113428
I20241203004434 TX Practitioner - Chiropractic 6608113428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1113 Hwy 49
San Andreas, CA 95249-9583
Phone (209) 755-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20304CAMDChiropractor
DC 26478CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board, Incorporated Chiropractor Past Accepting new patients
M a C T Health Board Incorporated 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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1912028812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220441",
            "telephone_number": "209-772-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S HIGHWAY 26 STE 1",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528422",
            "telephone_number": "209-772-8921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Highway 49",
            "address_purpose": "LOCATION",
            "city": "San Andreas",
            "state": "CA",
            "postal_code": "95249",
            "country_code": "US",
            "telephone_number": "209-755-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Preston Ave",
            "address_purpose": "LOCATION",
            "city": "Ione",
            "state": "CA",
            "postal_code": "956409158",
            "country_code": "US",
            "telephone_number": "209-674-6182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13975 Mono Way Ste G",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953702824",
            "country_code": "US",
            "telephone_number": "209-533-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 26478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.