Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Walter Richie

Individual provider Physician Assistant · NPI 1114796992

Mr. Michael Walter Richie is a Physician Assistant in Alameda, California. Qualified in 2024, 2 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2671 Blanding Ave # AB
Alameda, CA 94501-1587
Phone: (415) 404-3125
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65919 (CA)

Record details

NPI number1114796992
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2023
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address1104 Rosewood Way, Alameda, CA 94501-5636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Alameda