NPIMap

Organization Active NPI

Nebula Health, LLC

  • Adult Mental Health Clinic/Center
  • Riverside, CA
National Provider Identifier
1194479501
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEBULA HEALTH, LLC
Practice address
6833 Indiana Ave Ste 101
Riverside, CA 92506-4223
Phone
(951) 289-5424
NPI assigned
Feb 5, 2022
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Deepak Rajpoot, MDNPI 1093942864
Title
Ceo
Phone
(775) 550-7401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

6833 Indiana Ave Ste 101
Riverside, CA 92506-4223

Mailing address

806 Avenida Pico # I-330
San Clemente, CA 92673-5639
Phone (657) 346-6319

Other names 1

  • New Directions Tele LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI, KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220309000254 CA Part B Supplier - Clinic/Group Practice 8820482805 Receives reassigned benefits from 37 practitioners
Practice locations: Riverside, CA; Mission Viejo, CA; Laguna Beach, CA
O20240521003011 WI Part B Supplier - Clinic/Group Practice 8820482805 Receives reassigned benefits from 3 practitioners
Practice locations: Middleton, WI
O20260513000956 KS Part B Supplier - Clinic/Group Practice 8820482805 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

31872 Coast Hwy
Fl 2
Laguna Beach, CA 92651
Phone (949) 399-7504

806 Avenida Pico
#I330
San Clemente, CA 92673

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1194479501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 AVENIDA PICO # I-330",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735639",
            "telephone_number": "657-346-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 INDIANA AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064223",
            "telephone_number": "951-289-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBULA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "RAJPOOT",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-550-7401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Directions Tele LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "New Directions Tele LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.