Individual provider Active NPI

Richard Francis Emanuel, FNP

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1922399609
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
503627 Issued in CA
Practice address
45074 10TH St W
Suite 109
Lancaster, CA 93534-2371
Phone
(661) 723-3769
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 503627 CA Primary

Addresses

Primary practice location

45074 10TH St W
Suite 109
Lancaster, CA 93534-2371

Mailing address

45074 10TH St W
Suite 109
Lancaster, CA 93534-2371
Phone (661) 723-3769

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000262 CA Practitioner - Nurse Practitioner 2062681547 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
503627CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc. Current Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jun 1, 2017 Accepting new patients

Locations

320 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 729-9000

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

Interoperability endpoints

  • Direct secure messaging: remanuel347250@direct.ochin.org

Organizations & group practices 3

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1922399609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45074 10TH ST W",
            "address_2": "SUITE 109",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342371",
            "telephone_number": "661-723-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45074 10TH ST W",
            "address_2": "SUITE 109",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342371",
            "telephone_number": "661-723-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUEL",
        "first_name": "RICHARD",
        "middle_name": "FRANCIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "503627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.