Individual provider Active NPI

Neeta Kumari, M.D., MPH

  • Psychiatry Physician
  • Riverside, CA
National Provider Identifier
1508094830
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A122624 Issued in CA
Practice address
4095 County Circle Dr
Riverside, CA 92503-3410
Phone
(951) 358-4621
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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 A122624 CA Primary

Addresses

Primary practice location

4095 County Circle Dr
Riverside, CA 92503-3410

Mailing address

4095 County Circle Dr
Riverside, CA 92503-3410
Phone (951) 358-4621

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
I20131003000193 CA Practitioner - Psychiatry 2365676475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RiversideGroup PAC ID 6507754488, 190 clinicians

Practice addresses (Care Compare)

31760 Casino Dr
Lake Elsinore, CA 92530-4561
Phone (951) 943-8015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
County of Riverside CurrentSince Sep 26, 2015 Accepting new patients
County of Riverside CurrentSince Sep 26, 2015 Accepting new patients

Locations

1330 W Ramsey St
Ste 100
Banning, CA 92220
Phone (951) 849-7142

31760 Casino Dr
Lake Elsinore, CA 92530
Phone (951) 471-4600

2499 E Lakeshore Dr
Lake Elsinore, CA 92530
Phone (951) 471-4200

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

1688 N Perris Blvd
Ste L11
Perris, CA 92571
Phone (951) 443-2200

769 W Blaine St
Ste B
Riverside, CA 92507
Phone (951) 358-4705

Interoperability endpoints

  • Direct secure messaging: nkumari144582@direct.llu.edu

Organizations & group practices 3

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1508094830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 COUNTY CIRCLE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033410",
            "telephone_number": "951-358-4621"
        },
        {
            "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": "951-358-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMARI",
        "first_name": "NEETA",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A122624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.