Individual provider Active NPI

Justice Richardson, DO

  • Anesthesiology Physician
  • Denver, CO
National Provider Identifier
1912435355
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A18689 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727002644 CA Practitioner - Anesthesiology 3274802848 Reassigns benefits to 2 organizations

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
Associated Anesthesiologists of the Central CoastGroup PAC ID 5597665018, 35 clinicians

Practice addresses (Care Compare)

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 928-1731

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18689CAMDAnesthesiology Physician
TL0006678COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Associated Anesthesiologists of the Central Coast Anesthesiology CurrentSince May 1, 2021 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Aug 1, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.