Individual provider Active NPI

Pria Persaud, MD

  • Psychiatry Physician
  • El Centro, CA
National Provider Identifier
1457528440
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A117322 Issued in CA
Practice address
120 N 8TH St
El Centro, CA 92243-2328
Phone
(760) 482-4000
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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 A117322 CA Primary

Addresses

Primary practice location

120 N 8TH St
El Centro, CA 92243-2328

Mailing address

120 N 8TH St
El Centro, CA 92243-2328
Phone (760) 482-4000

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
I20111003000484 CA Practitioner - Psychiatry 8921279944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117322CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare Inc CurrentSince Dec 4, 2012 Accepting new patients
Neighborhood Healthcare CurrentSince Nov 20, 2017 Accepting new patients
Neighborhood Healthcare CurrentSince Nov 20, 2017 Accepting new patients
Imperial County Behavioral Health Services Past Accepting new patients

Locations

425 N Date St
#0
Escondido, CA 92025

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: psycareassociates.priapersaud@143255.advancedmd-direct.com
  • Direct secure messaging: pria.persaud.p1@direct.chsica.nextgenshare.com

Organizations & group practices 4

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1457528440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432328",
            "telephone_number": "760-482-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432328",
            "telephone_number": "760-482-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "PRIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A117322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.