Active NPI
Ronald Lee Warnell, M.D.
- Psychiatry Physician
- Redlands, CA
National Provider Identifier
1730104472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G24960
- Practice address
- 537 Cajon St
Redlands, CA 92373-5903 - Phone
- (909) 556-7245
- Fax
- (888) 827-6318
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G24960 | CA | Primary |
Addresses
Primary practice location
537 Cajon St
Redlands, CA 92373-5903
Mailing address
PO Box 7279
Redlands, CA 92375-0279
Phone (909) 556-7245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G249600 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24960 | CA | MD | Dentist |
| G24960 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc. | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Evolve Psychotherapy- Marriage and Family Therapy Professional Corporation | Past | Accepting new patients |
Locations
11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
-
- Federally Qualified Health Center (FQHC)
- Banning, CA
- NPI 1437202124
-
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
-
- Marriage & Family Therapist
- Redlands, CA
- NPI 1871398958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379808000000",
"number": "1730104472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7279",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923750279",
"telephone_number": "909-556-7245",
"fax_number": "888-827-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 CAJON ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735903",
"telephone_number": "909-556-7245",
"fax_number": "888-827-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNELL",
"first_name": "RONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2013-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G24960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G249600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.