ORANGE PSYCHIATRIC MEDICAL GROUP, INC (NPI# 1225383763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225383763 |
| Entity Type | Organization |
| Organization Name | ORANGE PSYCHIATRIC MEDICAL GROUP, INC |
| Practice Address |
770 Magnolia Ave Suite 1f Corona CA 92879-3121 |
| Practice Telephone | 9517371917 |
| Practice Fax Number | 9517354105 |
| Mailing Telephone | 9517371917 |
| Mailing Fax Number | 9517354105 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |
| Authorized Official Name | DR. SAI B CHUNDU (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 9517371917 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
CA | Behavioral Health & Social Service Providers | |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
CA | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
| N | 106H00000X | Marriage & Family Therapist | CA | Behavioral Health & Social Service Providers | |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659626109 | Orange Psychiatric Medical Group, Inc | Counselor | 25114 Jefferson Ave, Suite A, Murrieta, CA 92562-1701 | 2012-07-20 |
| 1205181757 | Orange Psychiatric Medical Group, Inc | Counselor | 4000 14th St, Suite 310a, Riverside, CA 92501-4018 | 2012-07-20 |
| 1386999829 | Orange Psychiatric Medical Group, Inc | Counselor | 41670 Ivy St, Suite C, Murrieta, CA 92562-9433 | 2012-07-20 |
| 1396090742 | Orange Psychiatric Medical Group, Inc | Counselor | 31493 Rancho Pueblo Rd, Suite 203, Temecula, CA 92592-4833 | 2012-07-20 |
| Street Address |
770 MAGNOLIA AVE SUITE 1F |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396730560 | Rupal B Shah | Family Medicine | 770 Magnolia Ave, Suite 1k, Corona, CA 92879-3120 | 2005-09-14 |
| 1972990653 | Magnolia Dermatology Inc | Dermatology | 770 Magnolia Ave, Suite 2g, Corona, CA 92879-3120 | 2015-04-21 |
| 1013314145 | Morton P. Israel, M.d. | Eyewear Supplier (Equipment, not the service) | 770 Magnolia Ave, Suite 2d, Corona, CA 92879-3120 | 2014-12-04 |
| 1982043139 | Monique Cerissa Mariscal | Physician Assistant | 770 Magnolia Ave, 2a, Corona, CA 92879-3120 | 2013-06-20 |
| 1275852956 | Brenda C. White | Nurse Practitioner | 770 Magnolia Ave, Suite 2a, Corona, CA 92879-3120 | 2010-05-20 |
| 1346578184 | Tahja R Mcdowell | Psychologist | 770 Magnolia Ave, 1f, Corona, CA 92879-3120 | 2009-12-04 |
| 1902046097 | Dr.bhagat & Uppal, A.p.d.c. | Dentist | 770 Magnolia Ave, Suite 1-j, Corona, CA 92879-3120 | 2009-03-02 |
| 1164692596 | Andrew Allen Harper | Pharmacist | 770 Magnolia Ave, Suite 1g, Corona, CA 92879-3120 | 2008-02-29 |
| 1932257276 | Inland Psychiatric Medical Group, Inc. | Psychologist | 770 Magnolia Ave, Suite 1f, Corona, CA 92879-3120 | 2007-01-05 |
| 1548325145 | Trupath Laboratories, Inc. | Clinical Medical Laboratory | 770 Magnolia Ave, Suite 2g, Corona, CA 92879-3120 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639566367 | Shreya Medical Group Inc | Psychiatry & Neurology | 2471 Rosser Dr, Corona, CA 92879-3319 | 2015-04-21 |
| 1962836858 | Nazneen Nahar Khan | Psychiatry & Neurology | 4121 97th Pl Fl 3, Corona, NY 11368-2108 | 2013-08-27 |
| 1245420082 | Naureen Munawar | Psychiatry & Neurology | 9705 Horace Harding Expy Apt 18e, Corona, NY 11368-4194 | 2007-07-27 |
| 1477754612 | Aliuddin M Khaja | Psychiatry & Neurology | 9050 Hunt Rd, Corona, CA 92883-5008 | 2007-05-29 |
| 1346388741 | Louis Richard Alvarez | Psychiatry & Neurology | 16756 Chino-corona Road, California Institution for Women, Corona, CA 92878-6000 | 2007-02-01 |
| 1861566572 | Raj Parsram Rajani | Psychiatry & Neurology | 1820 Fulerton Ave, Suite #210, Corona, CA 92881 | 2006-11-17 |
| 1962421529 | Yoon Hoon Kim | Psychiatry & Neurology | 629 N Main St Ste C3, Corona, CA 92880-1410 | 2006-07-18 |
| 1962428912 | Varsha Hitesh Patel | Psychiatry & Neurology | 127 N Mckinley St, Suite# 101, Corona, CA 92879-6563 | 2006-07-14 |
| 1073582482 | Purshotam B Kataria | Psychiatry & Neurology | 112 W Grand Blvd, Corona, CA 92882-2006 | 2006-03-16 |
| 1447647326 | Andrew Dornan | Psychiatry & Neurology | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-04-18 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.