NPIMap

Individual provider Active NPI

Robert Alan Richardson, M.D.

  • Emergency Medicine Physician
  • Lancaster, CA
National Provider Identifier
1982642179
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A34155 Issued in CA
Practice address
45104 10TH St W
Antelope Valley Community Clinic
Lancaster, CA 93534-2310
Phone
(661) 942-2391
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12436 AZ
Emergency Medicine Physician 207P00000X A34155 CA Primary

Addresses

Primary practice location

45104 10TH St W
Antelope Valley Community Clinic
Lancaster, CA 93534-2310

Mailing address

45104 10TH St W
Antelope Valley Community Clinic
Lancaster, CA 93534-2310
Phone (661) 942-2391

Other identifiers 1

IdentifierTypeStateIssuer
205387MedicaidAZ

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

LicenseStateTypeSpecialty
34155CAMDOptometrist
A34155CAMDEmergency Medicine Physician
12436AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saddle Gap Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Little Colorado Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Mesa General Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Med 97 LLC Past Accepting new patients
Stronghold Emergency Physicians Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
Mohave Sleep Medicine Associates LLC Past Accepting new patients

Organizations & group practices 9

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1982642179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45104 10TH ST W",
            "address_2": "ANTELOPE VALLEY COMMUNITY CLINIC",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342310",
            "telephone_number": "661-942-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45104 10TH ST W",
            "address_2": "ANTELOPE VALLEY COMMUNITY CLINIC",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342310",
            "telephone_number": "661-942-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "12436",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A34155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205387",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.