Orange Psychiatric Medical Group, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ORANGE PSYCHIATRIC MEDICAL GROUP, INC

Practice address

25114 Jefferson Ave
Suite a
Murrieta, CA 92562-1701

Phone

(951) 737-1917

Fax

(951) 735-4105

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sai B Chundu, M.D.

Title

President/ Owner

Phone

(951) 737-1917

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Orange Psychiatric Medical Group, Inc

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1205181757

  O20121126000504

  Same enrollment
• Orange Psychiatric Medical Group, Inc

  • Psychiatry Physician
  • Corona, CA
  • NPI 1225383763

  O20121126000504

  Same enrollment
• Orange Psychiatric Medical Group, Inc

  • Psychiatry Physician
  • Murrieta, CA
  • NPI 1386999829

  O20121126000504

  Same enrollment
• Orange Psychiatric Medical Group, Inc

  • Psychiatry Physician
  • Temecula, CA
  • NPI 1396090742

  O20121126000504

  Same enrollment

Locations

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1659626109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "SUITE 1F",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793121",
            "telephone_number": "951-737-1917",
            "fax_number": "951-735-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25114 JEFFERSON AVE",
            "address_2": "SUITE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621701",
            "telephone_number": "951-737-1917",
            "fax_number": "951-735-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PSYCHIATRIC MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "CHUNDU",
        "authorized_official_first_name": "SAI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "951-737-1917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Opong
• Optimal Home Health Services LLC
• Optimal Metabolic Solutions LLC
• Arnold P Oquendo
• Orange Psychiatric Medical Group, Inc
• Teresa Orduno Orozco, BCBA
• Orion Anesthesia Consultants Inc
• Cynthia Celeste Orozco
• Jasmine Kahookele Orozco, MS, AMFT
• Raymondo Walter Orozco, BA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.