John Paul Riesenman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G47918 Issued in CA

Practice address

255 Terracina Blvd Ste 204
Redlands, CA 92373-4870

Phone

(909) 798-1763

Fax

(909) 307-6405

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - Inland Empire, a service of Dignity Hea

  • Multi-Specialty Clinic/Center
  • Highland, CA
  • NPI 1053653873
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1609834936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 204",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-798-1763",
            "fax_number": "909-307-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 204",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-798-1763",
            "fax_number": "909-307-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Highland Springs Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922232550",
            "country_code": "US",
            "telephone_number": "951-849-7455",
            "fax_number": "909-307-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIESENMAN",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G47918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Dianne Rice, RN
• Russell Rice, MFT
• Rick J Nichols DDS Inc (Just for Kids Pediatric Dentistry)
• Jennifer Kaiser Rickard, M.S., CCC-SLP
• Clinton Riddell, MD
• Rachel Rigsby
• Steven O Rimmer, M.D.
• Stephanie A Risaliti, MS, RD
• River Stones Child and Adolescent Treatment (River Stones RTC)
• River Stones Residential Treatment Services Inc

• Psychiatry Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.