Active NPI
Rachel Jesunathadas, MD
- Psychiatry Physician
- Chino, CA
National Provider Identifier
1215417134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A186724
- Practice address
- 14901 Central Ave
Chino, CA 91710-9500 - Phone
- (909) 597-1821
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A186724 | CA | Primary |
Addresses
Primary practice location
14901 Central Ave
Chino, CA 91710-9500
Mailing address
4655 Cass St Ste 112
San Diego, CA 92109-2810
Other practice location 1
655 E Jersey St
Elizabeth, NJ 07206-1259
Phone (908) 994-5000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A186724 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- rjesunathadas449795@direct.ahsys.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1215417134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 CASS ST STE 112",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921092810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 CENTRAL AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917109500",
"telephone_number": "909-597-1821"
}
],
"practiceLocations": [
{
"address_1": "655 E Jersey St",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072061259",
"country_code": "US",
"telephone_number": "908-994-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESUNATHADAS",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A186724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.