BERONIE VONDELL RICHARDSON MD
NPI 1235302373
Family Medicine in Marina Del Rey, CA

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
4560 ADMIRALTY WAY STE 100, MARINA DEL REY, CA 90292(310) 827-3700(310) 578-5379 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, May 16, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Beronie Vondell Richardson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERONIE VONDELL RICHARDSON MD (NPI 1235302373) is an individual family medicine provider in Marina Del Rey, California, licensed in California (A103394) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of New York Medical College (2004).

NPPES Registry Identity

NPI1235302373
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBERONIE VONDELL RICHARDSONCredential: MD
Location Address4560 ADMIRALTY WAY STE 100Marina Del Rey, CA 90292-5424
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Fax(310) 578-5379
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2004
Enumeration DateApril 9, 2008
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1235302373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A103394
Definition
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.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License A103394 (CA)
4560 ADMIRALTY WAY STE 100, Marina Del Rey, CA 90292

Secondary Practice Locations 3

Location 11399 Roxbury Dr Ste 100Los Angeles, CA 90035-4709 · Phone (310) 557-2273
Location 221400 Ventura Blvd Ste CWoodland Hills, CA 91364-2008 · Phone (818) 600-2426 · Fax (818) 600-2842
Location 3150 Valpreda RdSan Marcos, CA 92069-2973 · Phone (760) 736-6780

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Beronie Vondell Richardson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901976158
PECOS Enrollment IDI20080530000696
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Emergency Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beronie Richardson's NPI number?

The NPI number for Beronie Richardson is 1235302373. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Beronie Richardson located?

Beronie Richardson practices at 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292. The listed phone number is (310) 827-3700.

What is Beronie Richardson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Beronie Richardson enrolled in Medicare?

Yes. Beronie Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Beronie Richardson was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.