| David Desai Md Inc | |
|
1030 Nevada St Ste 101 Redlands CA 92374-2957 | |
| (909) 966-5500 | |
| (909) 966-5222 |
| Full Name | David Desai Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1030 Nevada St Ste 101, Redlands, California |
| Authorized Official Name and Position | David Desai (OWNER) |
| Authorized Official Contact | 9515303294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Desai Md Inc 1030 Nevada St Ste 101 Redlands CA 92374-2957 Ph: (909) 966-5500 | David Desai Md Inc 1030 Nevada St Ste 101 Redlands CA 92374-2957 Ph: (909) 966-5500 |
| NPI Number | 1174901128 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Medicare PECOS PAC ID | 6204148794 |
|---|---|
| Medicare Enrollment ID | O20150713001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174901128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A1004997 (California) | Primary |
| Provider Name | Ralph P Lissaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245287960 PECOS PAC ID: 1557318870 Enrollment ID: I20050407000879 |
| Provider Name | David P Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740451566 PECOS PAC ID: 2961696885 Enrollment ID: I20101104000167 |
| Provider Name | Uchenna G Orji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457770836 PECOS PAC ID: 8325004880 Enrollment ID: I20150617002610 |
| Provider Name | Eric B Zywicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851801443 PECOS PAC ID: 4981967817 Enrollment ID: I20191206002302 |
| Provider Name | Elma M Slough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982220588 PECOS PAC ID: 9234558289 Enrollment ID: I20200924002844 |
| Provider Name | Aizzel R Trieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689214074 PECOS PAC ID: 9133539224 Enrollment ID: I20201030001028 |
| Provider Name | Folashade Jayeoba-sampay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871192492 PECOS PAC ID: 1759795305 Enrollment ID: I20210122001388 |
| Provider Name | Bariasa Kanabolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578093050 PECOS PAC ID: 0941601751 Enrollment ID: I20210630004044 |
| Provider Name | Tony A Akpengbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437441524 PECOS PAC ID: 8729483797 Enrollment ID: I20210830001541 |
| Provider Name | Akta Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437813706 PECOS PAC ID: 9739579368 Enrollment ID: I20211214000535 |
| Provider Name | Ernest Takang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467738963 PECOS PAC ID: 9537553417 Enrollment ID: I20220221000364 |
| Provider Name | Chika U Oguagha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316546930 PECOS PAC ID: 5193111318 Enrollment ID: I20220414001950 |
| Provider Name | Kemerick Takang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588284251 PECOS PAC ID: 3072981596 Enrollment ID: I20221115000253 |
| Provider Name | Nkiruka C Anakor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215662101 PECOS PAC ID: 5799155461 Enrollment ID: I20221221003149 |
| Provider Name | Robert K Hull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033545298 PECOS PAC ID: 8921464462 Enrollment ID: I20230525001240 |
South Coast Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1030 Nevada St Ste 200, Redlands, CA 92374 Phone: 909-792-0474 | |
Changeful Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 9th St Ste 100-173, Redlands, CA 92374 Phone: 909-654-5992 | |
San Bernardino County Superintendent Of Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 W Park Ave, Redlands, CA 92373 Phone: 909-748-0259 | |
Inlandpsych Redlands Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 255 Terracina Blvd, Suite 204, Redlands, CA 92373 Phone: 909-798-1763 | |
Creative Change Therapy Center, A Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1255 W Colton Ave # 614, Redlands, CA 92374 Phone: 760-699-4199 | |
Cross Cultural Mft Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 W State St, Suite # C, Redlands, CA 92373 Phone: 562-522-8008 Fax: 909-335-5991 | |
Thomas Psychology Group Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1221 Calle De Barranca, Redlands, CA 92373 Phone: 909-255-2860 Fax: 909-796-0027 |