Active NPI
Richard Neil Rudd, M.D.
- Obstetrics & Gynecology Physician
- Berkeley, CA
National Provider Identifier
1972614972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G42981
- Practice address
- 2999 Regent St
Suite 301
Berkeley, CA 94705-2190 - Phone
- (510) 204-8160
- Fax
- (510) 841-5535
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G42981 | CA | Primary |
Addresses
Primary practice location
2999 Regent St
Suite 301
Berkeley, CA 94705-2190
Mailing address
10470 Old Placerville Rd
Sacramento, CA 95827-2528
Phone (916) 854-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G429810 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42981 | CA | MD | General Practice Dentistry |
| G42981 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1972614972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272528",
"telephone_number": "916-854-6666",
"fax_number": "916-854-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 REGENT ST",
"address_2": "SUITE 301",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052190",
"telephone_number": "510-204-8160",
"fax_number": "510-841-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "RICHARD",
"middle_name": "NEIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G42981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G429810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.