Individual provider Active NPI

Arnon David Desai, M.D.

  • Internal Medicine Physician
  • Redlands, CA
National Provider Identifier
1619339991
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A158648 Issued in CA
Practice address
1030 Nevada St Ste 101
Redlands, CA 92374-2957
Phone
(909) 966-5500
Fax
(909) 966-5222
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A158648 CA Primary

Addresses

Primary practice location

1030 Nevada St Ste 101
Redlands, CA 92374-2957

Mailing address

1030 Nevada St Ste 101
Redlands, CA 92374-2957
Phone (909) 966-5500

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
I20190918000644 CA Practitioner - Internal Medicine 0345534863 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Archis Desai MD IncGroup PAC ID 0345501060, 2 clinicians

Practice addresses (Care Compare)

1030 Nevada St
Suite 101
Redlands, CA 92374-2957

1901 Orange Tree LN
Suite 110
Redlands, CA 92374-4564
Phone (909) 966-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158648CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnon Desai MD Inc Internal Medicine CurrentSince Aug 7, 2022 Accepting new patients
Beaver Medical Group P C CurrentSince Feb 12, 2021 Accepting new patients
Riverside Medical Clinic, Inc Internal Medicine CurrentSince Aug 11, 2019 Accepting new patients
Riverside Medical Clinic, Inc Internal Medicine CurrentSince Aug 11, 2019 Accepting new patients
Archis Desai MD Inc. Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Beaver Medical Group P C Internal Medicine CurrentSince Feb 12, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Redlands Community Hospital Past Accepting new patients

Locations

7000 Boulder Ave
Highland, CA 92346

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

1030 Nevada St
Ste 101
Redlands, CA 92374
Phone (909) 362-3727

9041 Magnolia Ave
Ste 201
Riverside, CA 92503
Phone (909) 784-3380

4445 Magnolia Ave
Ofc
Riverside, CA 92501

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

2131 Elks Dr
Ste 104
Sn Bernrdno, CA 92404
Phone (909) 966-5500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1619339991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NEVADA ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742957",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NEVADA ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742957",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ARNON",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A158648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.