Reynaldo Raymundo Abejuela, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A42479 Issued in CA

Practice address

4990 Arlington Ave
Riverside, CA 92504-2757

Phone

(951) 343-3150

NPI assigned

Apr 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225255185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 DERRINGER LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653333",
            "telephone_number": "909-861-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042757",
            "telephone_number": "951-343-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEJUELA",
        "first_name": "REYNALDO",
        "middle_name": "RAYMUNDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A42479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Habibi Abdul-Zahir, CPSS
• Dealah Abdullah
• Mohammad Abdulrahman
• Hussein Abdulrassoul, MD
• John Abdelshehid Abed
• Christian Abel
• Nirusha Achini Abeydeera
• Thilini Anne Abeygunaratne
• Elaine Abich
• Syeda Batool Abidi

• Psychiatry Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.