Active NPI
Douglas Alan Richards, AU.D.
- Audiologist
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU347
- Practice address
- 18643 Brookhurst St Ste 1D
Fountain Valley, CA 92708-6709 - Phone
- (949) 535-1845
- Fax
- (949) 535-1845
- NPI assigned
- Nov 29, 2007
- Last updated
- Apr 14, 2021
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU347 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AU347 | CA |
Addresses
Primary practice location
18643 Brookhurst St Ste 1D
Fountain Valley, CA 92708-6709
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU347 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Audiologist | Current | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
Locations
341 Westlake Ctr
Ste 331
Daly City, CA 94015
Phone (650) 755-3688
24012 Calle de la Plata
Ste 215
Laguna Hills, CA 92653
Phone (949) 460-0617
300 E Esplanade Dr
Ste 480
Oxnard, CA 93036
Phone (805) 485-1290
2465 E Palm Canyon Dr
Ste 500
Palm Springs, CA 92264
Phone (760) 322-9533
4460 Black Ave
Ste F
Pleasanton, CA 94566
Phone (925) 484-3507
2555 Ocean Ave
Ste 203
San Francisco, CA 94132
Phone (415) 585-8788
840 Willow St
Ste 300
San Jose, CA 95125
Phone (408) 271-9447
1635 Lake San Marcos Dr
Ste 108
San Marcos, CA 92078
Phone (760) 744-1551
561 N Mountain Ave
Upland, CA 91786
Phone (909) 931-1069
2149 E Garvey Ave N
Ste A3
West Covina, CA 91791
Phone (626) 339-6449
750 N Commons Dr
Ste 200
Aurora, IL 60504
215 Shuman Blvd
Ste 401
Naperville, IL 60563
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1942482187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18643 BROOKHURST ST STE 1D",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086709",
"telephone_number": "949-535-1845",
"fax_number": "949-535-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "DOUGLAS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU347",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.