Michael Racadio

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW75339 Issued in CA

Practice address

1020 Coronado Dr
Redlands, CA 92374-6293

Phone

(909) 300-2516

NPI assigned

Apr 22, 2014

Last updated

Nov 26, 2018By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hi-Desert Memorial Health Care DistrictGroup PAC ID 1254240898, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hi -Desert Memorial Health Care District

  dba Morongo Basin Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yucca Valley, CA
  • NPI 1841612082
  Medicare reassignment Care Compare group NPD
• Hi-Desert Memorial Health Care District

  dba Morongo Basin Community Health Center-BH

  • Federally Qualified Health Center (FQHC)
  • Yucca Valley, CA
  • NPI 1649708611
  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1649690298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7340",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923750340",
            "telephone_number": "909-300-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CORONADO DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746293",
            "telephone_number": "909-300-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACADIO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Quirarte, PMHNP
• Airam Quiroa
• Angela Joy Rabelhofer, MD
• Fredric Eldon Rabinowitz, PHD
• Janet Rabinowitz, SLP-CCC
• Erik Raddatz
• Raymond Cabot Radeka, LCSW
• Radiant Path Marriage and Family Therapy, a Professional Corporation
• Mohammed Radmard, MD
• Mina Girgis Ragheb, M.D.

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.