Stefan Ursu, M.D., PH.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A124650 Issued in CA

Practice address

9990 County Farm Rd
Riverside, CA 92503-3542

Phone

(951) 358-5766

NPI assigned

Aug 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America - Psychiatry PCGroup PAC ID 0244522159, 93 clinicians

County of RiversideGroup PAC ID 6507754488, 190 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside University Health System-Medical Center Hospital, Moreno Valley, CA, CCN 050292
• Natividad Medical Center Hospital, Salinas, CA, CCN 050248

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sursu256594@direct.llu.edu

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.

• Cep America - Psychiatry PC

  • Psychiatry Physician
  • Santa Maria, CA
  • NPI 1538757232

  CA, Psychiatry

  Medicare reassignment Care Compare group NPD
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1023122967

  CA

  Medicare reassignment Care Compare group NPD
• High Desert Psychological Services

  • Psychologist
  • Victorville, CA
  • NPI 1104463371

  CA

  Medicare reassignment NPD
• Baylor College of Medicine

  • Ph.D. Medical Genetics
  • Houston, TX
  • NPI 1881026664

  Psychiatry, TX

  Medicare reassignment NPD
• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821

  Psychiatry, TX

  Medicare reassignment NPD
• County of Riverside

  • Clinical Medical Laboratory
  • Riverside, CA
  • NPI 1952496010
  Care Compare group NPD
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1003920943
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Hemet, CA
  • NPI 1114031051
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Perris, CA
  • NPI 1194839035
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Corona, CA
  • NPI 1205940145
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Banning, CA
  • NPI 1346353679
  Care Compare group
• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1356455299
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Monterey

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255

  Hospital

  Care Compare affiliation
• County of Riverside

  • General Acute Care Hospital
  • Moreno Valley, CA
  • NPI 1821159195

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1629201561",
    "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": "951-358-4504"
        },
        {
            "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": "951-358-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSU",
        "first_name": "STEFAN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "FT45884",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R7618",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A124650",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "FT45449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sursu@ruhealth.org",
            "affiliation": "N",
            "address_1": "9990 County Farm Rd",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925033542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mirza Yanira Urquilla
• Laura Judith Urquizu, LCSW
• Victoria Urrutia
• Lyzette Ursenbach
• Taliah Ursery
• Maribel Urtez
• Urva Suryawala DDS Inc.
• US Transportation LLC
• Grace E Usigbe
• Joshua Uslu

• All providers in Riverside, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.

Verify at the official NPI Registry.