Individual provider Active NPI

Adina Tanasescu, M.D.

  • Nephrology Physician
  • Riverside, CA
National Provider Identifier
1366494320
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A66943 Issued in CA
Practice address
3660 Park Sierra Dr
Suite 208
Riverside, CA 92505-3081
Phone
(951) 687-2800
Fax
(951) 687-7290
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A66943 CA Primary
Internal Medicine Physician 207R00000X A66943 CA

Addresses

Primary practice location

3660 Park Sierra Dr
Suite 208
Riverside, CA 92505-3081

Mailing address

PO Box 54130
Los Angeles, CA 90054-0130
Phone (951) 687-3400

Other identifiers 5

IdentifierTypeStateIssuer
GR0092370OtherCAMEDICAL GRP #
ZZZ22408ZOtherCANORTHERN MEDICARE GRP #
00A669430OtherCAMEDICARE IDENTIFICATION N
WA66943AOtherCAMEDICARE IDENTIFICATION N
W1985OtherCASOUTHERN MEDICARE GRP #

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015001304 CA Practitioner - NephrologyPractitioner - Internal Medicine 5799817508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

3660 Park Sierra Dr
Suite 208
Riverside, CA 92505-3071
Phone (951) 687-2800

Hospital & facility affiliations

  • Fresenius Medical Care of Riverside Dialysis facility, Riverside, CA, CCN 052848
  • DaVita Vista Heights Dialysis Center Dialysis facility, Moreno Valley, CA, CCN 552846
  • FMC-Moreno Valley Dialysis facility, Moreno Valley, CA, CCN 552805
  • DaVita Riverside Mission Home Training Dialysis facility, Riverside, CA, CCN 552627
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66943CAMDInternal Medicine Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc Nephrology CurrentSince Jul 1, 2015 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
MK Dialysis Center at Riverside, Inc. PastSince Mar 28, 2011 Accepting new patients
Nephrology Associates Medical Group, Inc. Past Accepting new patients

Locations

22555 Alessandro Blvd
Ste B
Moreno Valley, CA 92553
Phone (951) 656-1660

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: adina.tanasescu.1@19859.direct.athenahealth.com
  • Direct secure messaging: atanasescu53433@direct.llu.edu

Organizations & group practices 8

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1366494320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540130",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR",
            "address_2": "SUITE 208",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053081",
            "telephone_number": "951-687-2800",
            "fax_number": "951-687-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANASESCU",
        "first_name": "ADINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A66943",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL GRP #",
            "identifier": "GR0092370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHERN MEDICARE GRP #",
            "identifier": "ZZZ22408Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION N",
            "identifier": "00A669430",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION N",
            "identifier": "WA66943A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN MEDICARE GRP #",
            "identifier": "W1985",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.