Individual provider Active NPI

Rajababu Kurre, MD

  • Psychiatry Physician
  • Redlands, CA
National Provider Identifier
1376584680
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A47982 Issued in CA
Practice address
1809 W Redlands Blvd
Inland Psychiatric Medical Group Inc
Redlands, CA 92373-8054
Phone
(909) 335-3026
Fax
(909) 335-3167
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A47982 CA Primary

Addresses

Primary practice location

1809 W Redlands Blvd
Inland Psychiatric Medical Group Inc
Redlands, CA 92373-8054

Mailing address

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

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
I20111229000186 CA Practitioner - Psychiatry 8426224254 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A47982CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Bernardino CurrentSince Jan 26, 2025 Accepting new patients
Orange Psychiatric Medical Group, Inc Psychiatry CurrentSince Jul 31, 2023 Accepting new patients
County of San Bernardino Current Accepting new patients
Orange Psychiatric Medical Group, Inc Psychiatry CurrentSince Jul 31, 2023 Accepting new patients
County of San Bernardino CurrentSince Jan 26, 2025 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

770 Magnolia Ave
Ste 1F
Corona, CA 92879
Phone (951) 737-1917

41670 Ivy St
Ste C
Murrieta, CA 92562
Phone (951) 696-5220

850 E Foothill Blvd
Rialto, CA 92376
Phone (909) 421-9200

4510 Brockton Ave
Ste 375
Riverside, CA 92501
Phone (951) 276-1100

303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1376584680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026",
            "fax_number": "909-335-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "address_2": "INLAND PSYCHIATRIC MEDICAL GROUP INC",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026",
            "fax_number": "909-335-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURRE",
        "first_name": "RAJABABU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A47982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.