Individual provider Active NPI

Deepak Rajpoot, MD

  • Psychiatry Physician
  • Riverside, CA
National Provider Identifier
1093942864
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A118562 Issued in CA
Practice address
6833 Indiana Ave Ste 101
Riverside, CA 92506-4223
Phone
(657) 346-6319
Fax
(951) 269-4184
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 15791 NV
Psychiatry Physician 2084P0800X A118562 CA Primary

Addresses

Primary practice location

6833 Indiana Ave Ste 101
Riverside, CA 92506-4223

Mailing address

806 Avenida Pico # I-330
San Clemente, CA 92673-5639
Phone (951) 231-7069

Other practice location 1

3169 Deming Way
Middleton, WI 53562-1435
Phone (951) 231-7069

Other practice location 2

31872 Coast Hwy
Laguna Beach, CA 92651-6773
Phone (951) 231-7069

Other practice location 3

17330 Bear Valley Rd
Victorville, CA 92395-7741
Phone (951) 231-7069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, CA, WI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120124000187 KS Practitioner - Psychiatry 7012184534 Reassigns benefits to 1 organization
I20131015001724 MO Practitioner - Psychiatry 7012184534 Reassigns benefits to 1 organization
I20190111002684 CA Practitioner - Psychiatry 7012184534 Reassigns benefits to 3 organizations
Practice locations: Mission Viejo, CA; Riverside, CA
I20240521003078 WI Practitioner - Psychiatry 7012184534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nebula Health, LLCGroup PAC ID 8820482805, 17 clinicians

Practice addresses (Care Compare)

23228 Madero
Mission Viejo, CA 92691-2706
Phone (949) 900-4580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22736WIMDInternal Medicine Physician
A118562CAMDPsychiatry Physician
15791NVMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH-Madison LLC CurrentSince Apr 22, 2024 Accepting new patients
Nebula Health, LLC Psychiatry CurrentSince Nov 28, 2021 Accepting new patients
Swope Health Services CurrentSince Jun 10, 2015 Accepting new patients
Nebula Health, P. C. Psychiatry CurrentSince Nov 12, 2023 Accepting new patients
Swope Health Services CurrentSince Jun 10, 2015 Accepting new patients
SBH-Madison LLC Past Accepting new patients

Locations

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

6833 Indiana Ave
Ste 101
Riverside, CA 92506
Phone (657) 346-6319

5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901

806 Avenida Pico
#I330
San Clemente, CA 92673

11937 W 119th St
Overland Park, KS 66213
Phone (816) 681-4494

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

3169 Deming Way
Middleton, WI 53562
Phone (608) 716-8286

3169 Deming Way
Ste A
Middleton, WI 53562

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1093942864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 AVENIDA PICO # I-330",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735639",
            "telephone_number": "951-231-7069",
            "fax_number": "951-269-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 INDIANA AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064223",
            "telephone_number": "657-346-6319",
            "fax_number": "951-269-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3169 Deming Way",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "WI",
            "postal_code": "535621435",
            "country_code": "US",
            "telephone_number": "951-231-7069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31872 Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926516773",
            "country_code": "US",
            "telephone_number": "951-231-7069",
            "fax_number": "951-269-4184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17330 Bear Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923957741",
            "country_code": "US",
            "telephone_number": "951-231-7069",
            "fax_number": "951-269-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJPOOT",
        "first_name": "DEEPAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "15791",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A118562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.