Individual provider Active NPI

Gary Richmond, NP

  • Family Nurse Practitioner
  • Berkeley, CA
National Provider Identifier
1992469159
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018937 Issued in CA
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

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Home health agency, Hayward, CA, CCN 059546
  • Health Link Home Health Agency Home health agency, San Francisco, CA, CCN 059016
  • Global Healthcare Services, LLC Home health agency, Modesto, CA, CCN 059210
  • Anx Home Healthcare Home health agency, Burlingame, CA, CCN 059071
  • 1St Choice Home Health Care & Hospice, Inc. Home health agency, Hayward, CA, CCN 059721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018937CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California PHS PC Nurse Practitioner CurrentSince Dec 2, 2024 Accepting new patients
J M Geiss DO Apc CurrentSince Dec 2, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.