Active NPI
Adina Tanasescu, M.D.
- Nephrology Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A66943
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0092370 | Other | CA | MEDICAL GRP # |
| ZZZ22408Z | Other | CA | NORTHERN MEDICARE GRP # |
| 00A669430 | Other | CA | MEDICARE IDENTIFICATION N |
| WA66943A | Other | CA | MEDICARE IDENTIFICATION N |
| W1985 | Other | CA | SOUTHERN 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- DaVita Vista Heights Dialysis Center
- FMC-Moreno Valley
- DaVita Riverside Mission Home Training
- Riverside Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A66943 | CA | MD | Internal Medicine Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates Medical Group Inc | Nephrology | Current | 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. | Past | 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
- adina.tanasescu.1@19859.direct.athenahealth.com
- 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.
-
- Nephrology Physician
- Riverside, CA
- NPI 1447200126
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Riverside, CA
- NPI 1245567627
-
- Specialist
- Riverside, CA
- NPI 1093264145
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Riverside, CA
- NPI 1538271333
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Moreno Valley, CA
- NPI 1609258284
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Moreno Valley, CA
- NPI 1730631045
Dialysis facility
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.