NPIMap

Individual provider Active NPI

Prabhdeep S Sethi, M.D., M.P.H.

  • Interventional Cardiology Physician
  • San Bernardino, CA
National Provider Identifier
1154379147
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
C53198 Issued in CA
Practice address
399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808
Phone
(909) 881-7400
Fax
(909) 881-5217
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X C53198 CA Primary
Cardiovascular Disease Physician 207RC0000X C53198 CA
Internal Medicine Physician 207R00000X C53198 CA

Addresses

Primary practice location

399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808

Mailing address

399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808
Phone (909) 881-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000599 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143114603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Empire Cardiovascular Consultants IncGroup PAC ID 8628399102, 6 clinicians

Practice addresses (Care Compare)

6950 Brockton Ave
Suite 1
Riverside, CA 92506-3830
Phone (951) 684-6464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince May 26, 2024 Accepting new patients
Inland Empire Cardiovascular Consultants, Inc. Cardiovascular Disease CurrentSince May 1, 2015 Accepting new patients
Dignity Health Past Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients
Baystate Medical Practices, Inc Internal Medicine Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Hospitalists of Arizona, Inc Internal Medicine Past Accepting new patients
Tucson Medical Center Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Ie Cardiology Faculty Medical Associates Cardiovascular Disease Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Casa Colina Hospital and Centers for Healthcare Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

10601 Church St
Ste 105
Rch Cucamonga, CA 91730
Phone (909) 989-7100

6950 Brockton Ave
Ste 1
Riverside, CA 92506
Phone (909) 883-8938

374 E Vanderbilt Way
Ste 1
San Bernardino, CA 92408
Phone (909) 686-0038

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

399 E Highland Ave
Ste 307
Sn Bernrdno, CA 92404
Phone (909) 881-7400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1154379147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 307",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 307",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "PRABHDEEP",
        "middle_name": "S",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "C53198",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C53198",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C53198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.