Healthcare Provider Details

I. General information

NPI: 1750918702
Provider Name (Legal Business Name): ELIZABETH RICHTER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 BRUCEVILLE RD
SACRAMENTO CA
95823-4671
US

IV. Provider business mailing address

5820 OWENS DR. BUILDING E, 2ND FLOOR
PLEASANTON CA
94588-3900
US

V. Phone/Fax

Practice location:
  • Phone: 916-688-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A23617
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: