NPIMap

Organization Active NPI

Cyrus Nasserian MD Cesar Cruz MD Sambin Wang DO and Zaheib Idrees D

Doing business as California Psychiatric Group

  • Psychiatry Physician
  • Covina, CA
National Provider Identifier
1326727074
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CYRUS NASSERIAN MD CESAR CRUZ MD SAMBIN WANG DO AND ZAHEIB IDREES D
Doing business as
California Psychiatric Group
Practice address
1161 E Covina Blvd
Covina, CA 91724-1523
Phone
(909) 279-1740
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Cyrus Nasserian, MDNPI 1154692556
Title
Cfo
Phone
(909) 279-1740

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1161 E Covina Blvd
Covina, CA 91724-1523

Mailing address

PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 464-1165

Other names 1

  • California Psychiatric Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901000171 CA Part B Supplier - Clinic/Group Practice 3870956246 Receives reassigned benefits from 12 practitioners
Practice locations: Ventura, CA; Upland, CA; Santa Ana, CA; San Diego, CA; Riverside, CA; Los Angeles, CA; Pomona, CA; Pasadena, CA…

National Provider Directory

National Provider Directory

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

150 W Route 66
Glendora, CA 91740
Phone (626) 335-0231

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1326727074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-464-1165",
            "fax_number": "619-567-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E COVINA BLVD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241523",
            "telephone_number": "909-279-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRUS NASSERIAN MD CESAR CRUZ MD SAMBIN WANG DO AND ZAHEIB IDREES D",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "NASSERIAN",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-279-1740",
        "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": [
        {
            "organization_name": "California Psychiatric Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Psychiatric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.