Individual provider Active NPI

Jay Chae, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Redlands, CA
National Provider Identifier
1275237422
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024404 Issued in CA
Practice address
1030 Nevada St Ste 101
Redlands, CA 92374-2957
Phone
(909) 966-5500
NPI assigned
Mar 29, 2023
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024404 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024404 CA Primary

Addresses

Primary practice location

1030 Nevada St Ste 101
Redlands, CA 92374-2957

Mailing address

1030 Nevada St Ste 101
Redlands, CA 92374-2957
Phone (909) 966-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601002444 CA Practitioner - Nurse Practitioner 8022475383 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024404CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Desai MD Inc CurrentSince Aug 1, 2025 Accepting new patients
Archis Desai MD Inc. CurrentSince Aug 1, 2025 Accepting new patients
Namita Mohideen MD Inc CurrentSince Apr 1, 2023 Accepting new patients
Arnon Desai MD Inc CurrentSince Aug 1, 2025 Accepting new patients
Golden State Primary Care Inc Past Accepting new patients
Victorville Pediatrics Past Accepting new patients

Locations

16465 Sierra Lakes Pkwy
Ste 115
Fontana, CA 92336
Phone (909) 823-8000

1030 Nevada St
Ste 101
Redlands, CA 92374
Phone (909) 362-3727

2131 Elks Dr
Ste 104
Sn Bernrdno, CA 92404
Phone (909) 966-5500

15237 Eleventh St
Ste C
Victorville, CA 92395
Phone (760) 493-9300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1275237422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NEVADA ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742957",
            "telephone_number": "909-966-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NEVADA ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742957",
            "telephone_number": "909-966-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAE",
        "first_name": "JAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024404",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.