Eric B Raimo M D a Professional Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ERIC B RAIMO M D A PROFESSIONAL MEDICAL CORPORATION

Practice address

4147 Adams Ave
San Diego, CA 92116-2509

Phone

(619) 850-9889

Fax

(619) 281-1947

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eric B Raimo, MDNPI 1568429389

Title

President

Phone

(619) 281-1932

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric B Raimo, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1568429389
  Medicare reassignment NPD Authorized official
• Jeffrey Chao, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1831139435
  NPD (past)
• Jacqueline Santuile Constantino, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1124463286
  NPD (past)
• Simona C Deaciuc, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1285666263
  NPD (past)
• Natalia E Fudim, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1891887279
  NPD (past)
• Julia Kuck, PH.D.

  • Clinical Neuropsychologist
  • San Diego, CA
  • NPI 1184611576
  NPD (past)
• Wendi Lea Legg, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1033981469
  NPD (past)
• Barbara Wohlander, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1053611418
  NPD (past)

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1255845962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162509",
            "telephone_number": "619-850-9889",
            "fax_number": "619-281-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162509",
            "telephone_number": "619-850-9889",
            "fax_number": "619-281-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC B RAIMO M D A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "RAIMO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-281-1932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seamae Erfani, MD
• Jessica Mae V Erfe, NONE
• Makaelyn F Ergino
• Maia Elyse Erhard
• Grace Erhardt
• Eric Bender Chiropractic PC
• Eric C Yu MD, a Medical Corporation
• Eric Gross Chiropractic Inc
• Eric M. White OD, Inc
• Eric Osmolinski DMD Inc

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.