Ricardo McKenzie M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A43601 Issued in CA

Legal business name

RICARDO MCKENZIE M.D. INC.

Practice address

3680 E Imperial Hwy
Suite 470
Lynwood, CA 90262-2659

Phone

(310) 604-3456

Fax

(310) 605-2678

NPI assigned

Mar 1, 2008

Organization subpart

No

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

Authorized official

Name

Ricardo Enrique McKenzie, M.D.NPI 1104823814

Title

President

Phone

(310) 604-3456

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Enrique McKenzie, M.D.

  • Internal Medicine Physician
  • Lynwood, CA
  • NPI 1104823814
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204329600000",
    "number": "1932379385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6815",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926076815",
            "telephone_number": "310-604-3456",
            "fax_number": "310-605-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "SUITE 470",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "310-604-3456",
            "fax_number": "310-605-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO MCKENZIE M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2008-03-01",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-604-3456",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A436011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Michelle Reyes
• Marques Rhodeman
• Curtis Edward Rhodes II
• Tanisha Andrea Rhodes
• Cyrus Riahi, PH.D.
• David Richards, PA
• Ruby Nell Richardson, LMFT
• Rick T Kim DDS Inc
• Maria Elena Rico
• Lianne Nicole Rijos

• Internal Medicine Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.