Organization Active NPI

Richard M Powell MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1992889299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G27765 Issued in CA
Legal business name
RICHARD M POWELL MD
Practice address
5901 W Olympic Blvd Ste 504
Los Angeles, CA 90036-4633
Phone
(323) 935-5858
Fax
(323) 935-1212
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ricahrd M Powell, MD
Title
Owner
Phone
(323) 935-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G27765 CA Primary

Addresses

Primary practice location

5901 W Olympic Blvd Ste 504
Los Angeles, CA 90036-4633

Mailing address

5901 W Olympic Blvd Ste 504
Los Angeles, CA 90036-4633
Phone (323) 935-5858

Other identifiers 1

IdentifierTypeStateIssuer
1093707390OtherCANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992889299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364633",
            "telephone_number": "323-935-5858",
            "fax_number": "323-935-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364633",
            "telephone_number": "323-935-5858",
            "fax_number": "323-935-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M POWELL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "RICAHRD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-935-5858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G27765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093707390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.