Individual provider Active NPI

Raj Kamal Sindher, MD

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1477540615
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A37401 Issued in CA
Practice address
4646 Brockton Ave
Suite 203
Riverside, CA 92506-0102
Phone
(951) 774-2870
Fax
(951) 774-2874
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A37401 CA Primary

Addresses

Primary practice location

4646 Brockton Ave
Suite 203
Riverside, CA 92506-0102

Mailing address

4646 Brockton Ave
Riverside, CA 92506-0102
Phone (951) 774-2800

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
I20070614000672 CA Practitioner - Family Practice 9436059110 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A37401CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orangecrest Medical Group, Inc. Family Medicine CurrentSince Mar 7, 2022 Accepting new patients
Raincross Urgent Care, Inc. PastSince Sep 6, 2017 Accepting new patients

Locations

14200 Meridian Pkwy
#101
Riverside, CA 92518
Phone (951) 653-0655

4646 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 394-7028

Organizations & group practices 2

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1477540615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060102",
            "telephone_number": "951-774-2800",
            "fax_number": "951-774-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE",
            "address_2": "SUITE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060102",
            "telephone_number": "951-774-2870",
            "fax_number": "951-774-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDHER",
        "first_name": "RAJ",
        "middle_name": "KAMAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.