Active NPI
John Dax Lindo, MD
- Child & Adolescent Psychiatry Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A142898
- Practice address
- 4095 County Circle Dr
Riverside, CA 92503-3410 - Phone
- (951) 358-4501
- NPI assigned
- May 17, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A142898 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036.135917 | IL |
Addresses
Primary practice location
4095 County Circle Dr
Riverside, CA 92503-3410
Mailing address
PO Box 277
Bieber, CA 96009-0277
Phone (530) 294-5241
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026000402 | CA | Practitioner - Psychiatry | 0749410496 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Riverside
Practice addresses (Care Compare)
1330 W Ramsey
Suite 100
Banning, CA 92220
Phone (951) 849-7142
940 E Williams St
Suite 102
Banning, CA 92220-5808
Phone (951) 849-6794
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142898 | CA | MD | Child & Adolescent Psychiatry Physician |
| 036.135917 | IL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Valleys Health Centers | Current | Accepting new patients | |
| Mountain Valleys Health Centers | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Mountain Valleys Health Centers | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients |
Locations
3055 W Ramsey St
Banning, CA 92220
Phone (951) 358-5311
554-850 Medical Center Dr
Bieber, CA 96009
Phone (530) 294-5629
37491 Enterprise Dr
Burney, CA 96013
Phone (530) 335-5457
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73477
- jlindo256771@direct.llu.edu
Organizations & group practices 19
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.
-
- Federally Qualified Health Center (FQHC)
- Bieber, CA
- NPI 1356438261
CA
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
-
- Federally Qualified Health Center (FQHC)
- Moreno Valley, CA
- NPI 1982243812
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1003920943
-
- Federally Qualified Health Center (FQHC)
- Hemet, CA
- NPI 1114031051
-
- Federally Qualified Health Center (FQHC)
- Perris, CA
- NPI 1194839035
-
- Federally Qualified Health Center (FQHC)
- Corona, CA
- NPI 1205940145
-
- Federally Qualified Health Center (FQHC)
- Banning, CA
- NPI 1346353679
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1356455299
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1386758225
-
- Federally Qualified Health Center (FQHC)
- Lake Elsinore, CA
- NPI 1396859179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1487947958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277",
"city": "BIEBER",
"state": "CA",
"postal_code": "960090277",
"telephone_number": "530-294-5241",
"fax_number": "530-294-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4095 COUNTY CIRCLE DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033410",
"telephone_number": "951-358-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDO",
"first_name": "JOHN",
"middle_name": "DAX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A142898",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036.135917",
"primary": false
}
],
"identifiers": [],
"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 Sep 26, 2017; 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.