Active NPI
Roxana Rabadi
- Clinical Psychologist
- Riverside, CA
National Provider Identifier
1194235077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 29479
- Practice address
- 5005 Canyon Crest Dr
Riverside, CA 92507-7721 - Phone
- (747) 224-2090
- NPI assigned
- Oct 5, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 29479 | CA | Primary |
Addresses
Primary practice location
5005 Canyon Crest Dr
Riverside, CA 92507-7721
Mailing address
5005 Canyon Crest Dr
Riverside, CA 92507-7721
Phone (747) 224-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1194235077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 CANYON CREST DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925077721",
"telephone_number": "747-224-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 CANYON CREST DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925077721",
"telephone_number": "747-224-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABADI",
"first_name": "ROXANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "29479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.