Individual provider Active NPI

Richard Murray Wachsman, MD

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1972683720
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G26231 Issued in CA
Practice address
5580 La Jolla Blvd # 46
La Jolla, CA 92037-7651
Phone
(858) 453-1145
Fax
(858) 453-1796
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G26231 CA Primary

Addresses

Primary practice location

5580 La Jolla Blvd # 46
La Jolla, CA 92037-7651

Mailing address

5580 La Jolla Blvd # 46
La Jolla, CA 92037-7651
Phone (858) 453-1145

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000633 CA Practitioner - Psychiatry 6305934829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Washington University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

La Jolla, CA 92037
Phone (858) 453-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G26231CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M. Wachsman, M.D. a Medical Corporation Psychiatry CurrentSince Jan 1, 2007 Accepting new patients

Locations

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

3252 Holiday Ct
Ste 105
La Jolla, CA 92037
Phone (858) 452-2882

4150 Regents Park Row
Ste 225
La Jolla, CA 92037
Phone (619) 455-1145

Organizations & group practices 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1972683720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 LA JOLLA BLVD # 46",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377651",
            "telephone_number": "858-453-1145",
            "fax_number": "858-453-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 LA JOLLA BLVD # 46",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377651",
            "telephone_number": "858-453-1145",
            "fax_number": "858-453-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSMAN",
        "first_name": "RICHARD",
        "middle_name": "MURRAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G26231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.