Active NPI
Tshristi Rijal
- Dentist
- Perris, CA
National Provider Identifier
1164095360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106701
- Practice address
- 1688 N Perris Blvd BLDG S
Perris, CA 92571-4709 - Phone
- (951) 688-9363
- NPI assigned
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 106701 | CA | Primary |
Addresses
Primary practice location
1688 N Perris Blvd BLDG S
Perris, CA 92571-4709
Mailing address
5964 Sycamore Canyon Blvd Apt 3054
Riverside, CA 92507-0864
Phone (909) 936-3970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230321000405 | CA | Order and Referring Only - Dentist | 1153795851 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1164095360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5964 SYCAMORE CANYON BLVD APT 3054",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070864",
"telephone_number": "909-936-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1688 N PERRIS BLVD BLDG S",
"city": "PERRIS",
"state": "CA",
"postal_code": "925714709",
"telephone_number": "951-688-9363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIJAL",
"first_name": "TSHRISTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.