Individual provider Active NPI

Jogendra Singh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Redlands, CA
National Provider Identifier
1174998843
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95003344 Issued in CA
Practice address
1809 W Redlands Blvd Ste 103
Redlands, CA 92373-8054
Phone
(909) 335-3026
NPI assigned
Dec 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003344 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95003344 CA Primary

Addresses

Primary practice location

1809 W Redlands Blvd Ste 103
Redlands, CA 92373-8054

Mailing address

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

Other practice location 1

6200 Van Buren Blvd Ste 100
Riverside, CA 92503-2098
Phone (951) 534-6618

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170313000975 CA Practitioner - Nurse Practitioner 3274824354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

73700 Dinah Shore Dr
Suite 106
Palm Desert, CA 92211-0815
Phone (760) 832-6352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003344CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Sep 4, 2020 Accepting new patients
Inland Psychiatric Medical Group, Inc Nurse Practitioner CurrentSince Sep 4, 2020 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Feb 17, 2017 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Feb 17, 2017 Accepting new patients
Cajon Medical Group PC Past Accepting new patients
Dignity Health Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Marcos Medical Group Inc. Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Cajon Medical Group, PC Past Accepting new patients

Locations

1771 W Romneya Dr
Ste D
Anaheim, CA 92801
Phone (714) 758-0403

4160 Temescal Canyon Rd
Ste 408
Corona, CA 92883
Phone (951) 344-4451

12442 Limonite Ave
Unit 104
Eastvale, CA 91752
Phone (951) 344-4451

8110 Mango Ave
Fontana, CA 92335
Phone (909) 427-1303

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

16279 Walnut St
Hesperia, CA 92345
Phone (760) 243-7700

81709 Doctor Carreon Blvd
Ste C1
Indio, CA 92201
Phone (760) 330-5161

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

1809 W Redlands Blvd
Ste 103
Redlands, CA 92373

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

34845 Yucaipa Blvd
Ste A
Yucaipa, CA 92399
Phone (909) 500-7971

34675 Yucaipa Blvd
Ste 108
Yucaipa, CA 92399
Phone (909) 793-9596

56970 Yucca Trl
Ste 104
Yucca Valley, CA 92284
Phone (760) 365-3711

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1174998843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD STE 103",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Van Buren Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925032098",
            "country_code": "US",
            "telephone_number": "951-534-6618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JOGENDRA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003344",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95003344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.