Healthcare Provider Details

I. General information

NPI: 1144308743
Provider Name (Legal Business Name): TOBY DOUGLAS RICHARDS NNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST RM 6700H
LOMA LINDA CA
92354-2804
US

IV. Provider business mailing address

32115 CALLE BALLENTINE
TEMECULA CA
92592-6700
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-8514
  • Fax:
Mailing address:
  • Phone: 951-302-3233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number224455
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberNP16648
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: