BERONIE VONDELL RICHARDSON MD NPI 1235302373

NPI Information

  • NPI: 1235302373
  • Provider Name: BERONIE VONDELL RICHARDSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4560 ADMIRALTY WAY STE 100
    MARINA DEL REY, CA
    ZIP 90292
  • Phone: (310) 827-3700

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NPI Details

Beronie Vondell Richardson, MD is a family medicine in Marina Del Rey, CA with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Beronie Vondell Richardson, MD NPI is 1235302373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:2004

The provider's business location address is:

4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA
ZIP 90292-424
Phone: (310) 827-3700
Fax: (310) 578-5379

The NPI 1235302373 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 5/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083X0100XPreventive MedicineOccupational MedicineA103394CALIFORNIANo
2207Q00000XFamily MedicineA103394CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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