Active NPI
Justice Richardson, DO
- Anesthesiology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A18689
- Practice address
- 1960 N Ogden St Ste 400
Denver, CO 80218-3670 - Phone
- (303) 318-1570
- NPI assigned
- May 30, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL0006678 | CO | |
| Anesthesiology Physician | 207L00000X | 20A18689 | CA | Primary |
Addresses
Primary practice location
1960 N Ogden St Ste 400
Denver, CO 80218-3670
Mailing address
1960 N Ogden St Ste 400
Denver, CO 80218-3670
Phone (303) 318-1570
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Rocky Vista University College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 928-1731
Hospital & facility affiliations
- French Hospital Medical Center
- Adventist Health Sierra Vista
- Marian Regional Medical Center
- Adventist Health Twin Cities
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18689 | CA | MD | Anesthesiology Physician |
| TL0006678 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Associated Anesthesiologists of the Central Coast | Anesthesiology | Current | Accepting new patients |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients |
Locations
300 Canal St
King City, CA 93930
Phone (831) 385-6000
24757 Dept La Lockbox
Pasadena, CA 91185
1105 E Foster Rd
Ste G
Santa Maria, CA 93455
Phone (805) 937-7203
1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDEGCD
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- San Luis Obispo, CA
- NPI 1619963576
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
-
- Clinic/Center
- King City, CA
- NPI 1336389600
-
- Clinic/Center
- King City, CA
- NPI 1841501996
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1639101116
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912435355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 N OGDEN ST STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802183670",
"telephone_number": "303-318-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 N OGDEN ST STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802183670",
"telephone_number": "303-318-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JUSTICE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-30",
"last_updated": "2022-07-21",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL0006678",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A18689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.