Active NPI
Baldev S Rai MD Inc
- Neurology Physician
- Riverside, CA
National Provider Identifier
1124248844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- BALDEV S RAI MD INC
- Practice address
- 4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370 - Phone
- (951) 785-7190
- Fax
- (951) 688-7246
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica R Dominguez
- Title
- Office Manager
- Phone
- (951) 785-7190
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | CA | Primary | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | |||
| Clinical Neurophysiology Physician | 2084N0600X | A41709 | CA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | A41709 | CA |
Addresses
Primary practice location
4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370
Mailing address
4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370
Phone (951) 785-7190
Other names 1
- PROGRESSIVE NEUROLOGY & SLEEP MEDICINE ASSOCIATES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1839 W Redlands Blvd
Redlands, CA 92373
Phone (951) 785-7190
4500 Brockton Ave
Ste 205
Riverside, CA 92501
Phone (951) 784-7190
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Riverside, CA
- NPI 1780048769
-
- Physician Assistant
- Riverside, CA
- NPI 1083024699
-
- Neurology with Special Qualifications in Child Neurology Physician
- Riverside, CA
- NPI 1114361060
-
- Neurology Physician
- Redlands, CA
- NPI 1003234550
-
- Physician Assistant
- Ontario, CA
- NPI 1487882015
-
- Neurology Physician
- Riverside, CA
- NPI 1598850083
-
- Neurology Physician
- Riverside, CA
- NPI 1811212475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662681600000",
"number": "1124248844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PKWY STE 280",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053370",
"telephone_number": "951-785-7190",
"fax_number": "951-688-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PKWY STE 280",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053370",
"telephone_number": "951-785-7190",
"fax_number": "951-688-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALDEV S RAI MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2022-09-09",
"certification_date": "2020-08-13",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "951-785-7190"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "A41709",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "CA",
"license": "A41709",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PROGRESSIVE NEUROLOGY & SLEEP MEDICINE ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.