Individual provider Active NPI

Richard Hume, D.C., CCSP, FIAMA

  • Sports Physician Chiropractor
  • Livermore, CA
National Provider Identifier
1962951681
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
20632 Issued in CA
Practice address
849 E Stanley Blvd
347
Livermore, CA 94550-4008
Phone
(925) 200-3755
NPI assigned
Sep 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 20632 CA Primary

Addresses

Primary practice location

849 E Stanley Blvd
347
Livermore, CA 94550-4008

Mailing address

849 E Stanley Blvd
347
Livermore, CA 94550-4008
Phone (925) 200-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823001245 CA Practitioner - Chiropractic 9335688274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20632CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Oct 1, 2024 Accepting new patients
County of San Joaquin CurrentSince Oct 1, 2024 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

Organizations & group practices 2

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1962951681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E STANLEY BLVD",
            "address_2": "347",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504008",
            "telephone_number": "925-200-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E STANLEY BLVD",
            "address_2": "347",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504008",
            "telephone_number": "925-200-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUME",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP, FIAMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "20632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.