Individual provider

Marc Richmond, M.D

Health Maintenance Organization Family Medicine Physician

Marc Richmond, M.D is a provider specialising in Health Maintenance Organization in Irvine, CA, registered under NPI 1578654109. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 5502 SOUTHALL TER, Irvine, CA 92603. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5502 SOUTHALL TER, Irvine, CA 92603 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G22621 CA Health Maintenance Organization primary
G22621 CA Family Medicine Physician

This provider holds licence G22621 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Health Maintenance Organization covers

(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. NUCC Health Care Provider Taxonomy, code 302R00000X
Managed Care Organizations Health Maintenance Organization

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
302R00000X Health Maintenance Organization G22621 CA primary
207Q00000X Family Medicine Physician G22621 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1578654109 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 27, 2006
Last updatedSep 11, 2025
StatusActive
Sole proprietorYes
CredentialM.D
Practice address 5502 SOUTHALL TER
Irvine, CA 92603
(949) 466-4651
Fax (949) 856-3222
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1578654109 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 7 8 6 5 4 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 5 8 3 5 8 1 0

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1578654109?
NPI 1578654109 is the National Provider Identifier assigned to Marc Richmond, M.D in Irvine, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Health Maintenance Organization cover?
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit…
How do I contact Marc Richmond, M.D?
The phone number on file with NPPES is (949) 466-4651, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1578654109 a valid number?
Yes. 1578654109 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.