Active NPI
Gary Richmond, NP
- Family Nurse Practitioner
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95018937
- Practice address
- 1901 4TH St
Berkeley, CA 94710-1985 - Phone
- (510) 929-1400
- Fax
- (510) 929-1414
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95018937 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95018937 | CA | Primary |
Addresses
Primary practice location
1901 4TH St
Berkeley, CA 94710-1985
Mailing address
PO Box 511250
Los Angeles, CA 90051-7805
Phone (510) 929-1400
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230123000775 | CA | Practitioner - Nurse Practitioner | 0143691527 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of California, San Francisco School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1144 65TH St
Suite F
Oakland, CA 94608-1053
5 Hutton Ctr Dr
Suite 950
Santaana, CA 92707-8714
6883 Sobrante Rd
Oakland, CA 94611-1105
Hospital & facility affiliations
- Best Home Health Providers, Inc
- Health Link Home Health Agency
- Global Healthcare Services, LLC
- Anx Home Healthcare
- 1St Choice Home Health Care & Hospice, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018937 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California PHS PC | Nurse Practitioner | Current | Accepting new patients |
| J M Geiss DO Apc | Current | Accepting new patients |
Locations
1420 E Palomar St
Chula Vista, CA 91913
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
- gary.richmond@299395540647940.direct.elationemr.com
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.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Foster City, CA
- NPI 1285004465
-
- Home Health Agency
- Daly City, CA
- NPI 1073769543
-
- Home Health Agency
- Hayward, CA
- NPI 1144592916
-
- Home Health Agency
- Modesto, CA
- NPI 1366572141
-
- Home Health Agency
- San Francisco, CA
- NPI 1215122346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1992469159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511250",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900517805",
"telephone_number": "510-929-1400",
"fax_number": "510-929-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 4TH ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947101985",
"telephone_number": "510-929-1400",
"fax_number": "510-929-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "GARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-25",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018937",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95018937",
"primary": true
}
],
"identifiers": [],
"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 Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.