Raj Augustine, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

12968 Frederick St Ste a
Moreno Valley, CA 92553-5229

Phone

(951) 208-0150

Fax

(951) 208-0409

NPI assigned

Nov 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Primemed Home Health Care, Inc.

  • Home Health Agency
  • Norwalk, CA
  • NPI 1265996771
  NPD Authorized official

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1174825988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12968 FREDERICK ST STE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535229",
            "telephone_number": "951-208-0150",
            "fax_number": "951-208-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12968 FREDERICK ST STE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535229",
            "telephone_number": "951-208-0150",
            "fax_number": "951-208-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 W Avenue I",
            "address_2": "Mental Health Unit",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935368312",
            "country_code": "US",
            "telephone_number": "661-940-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8616 La Tijera Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90045",
            "country_code": "US",
            "telephone_number": "310-337-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "RAJ",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Atiyota, AMFT, APCC
• Christopher K. Atlas
• Huy Duong Au, M.D.
• Taryn Auberry
• Samantha Aubrey
• Alison Christene Austin, D.D.S.
• Andrea Kim Austin
• Avery Garden Senior Care Home, Inc.
• Sherry L Avery
• Dulce Avila de la Rosa

• Psychologist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.