Active NPI
Prudhvi Bandi, MD
- Psychiatry Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A201569
- Practice address
- 9990 County Farm Rd
Riverside, CA 92503-3542 - Phone
- (951) 358-4700
- NPI assigned
- Apr 6, 2021
- Last updated
- Feb 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A201569 | CA | Primary |
Addresses
Primary practice location
9990 County Farm Rd
Riverside, CA 92503-3542
Mailing address
1968 S Coast Hwy # 1499
Laguna Beach, CA 92651-3681
Phone (503) 701-0182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone (707) 258-8757
1500 Rosecrans Ave
Suite 500
Manhattan Beach, CA 90266-3771
Phone (310) 360-7200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.92 of 100
- Quality
- 75.35
- Improvement activities
- 40
- Cost
- 89.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A201569 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traditions Psychiatry Group, P.C | Psychiatry | Current | Accepting new patients |
| Stephens Medical Corporation | Psychiatry | Current | Accepting new patients |
| Thomas Health Services Inc | Psychiatry | Current | Accepting new patients |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
Locations
320 Pine Ave
Ste 1030
Long Beach, CA 90802
Phone (310) 360-7200
11400 W Olympic Blvd
Ste 200
Los Angeles, CA 90064
Phone (401) 359-0757
1500 Rosecrans Ave
Ste 500
Manhattan Beach, CA 90266
Phone (310) 571-5936
1590 Rosecrans Ave
Ste D617
Manhattan Beach, CA 90266
Phone (310) 360-7200
402 W Broadway
Fl 4
San Diego, CA 92101
1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
Interoperability endpoints
- pbandi37879@gwmfa.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Traditions Behavioral Health
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1083802979
-
dba Altitude Wellness
- Psychiatry Physician
- Long Beach, CA
- NPI 1235839002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772236800000",
"number": "1568041523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 S COAST HWY # 1499",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926513681",
"telephone_number": "503-701-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9990 COUNTY FARM RD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033542",
"telephone_number": "951-358-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDI",
"first_name": "PRUDHVI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-06",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A201569",
"primary": true
}
],
"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 Feb 28, 2026; 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.