Individual provider Active NPI

David P Desai, M.D.

  • Psychiatry Physician
  • Redlands, CA
National Provider Identifier
1740451566
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A104997 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 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A104997 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
I20101104000167 CA Practitioner - Psychiatry 2961696885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Desai MD IncGroup PAC ID 6204148794, 9 clinicians

Practice addresses (Care Compare)

2131 Elks Dr
Suite 104
San Bernardino, CA 92404-5571
Phone (909) 966-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104997CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desai Medical Group & Behavioral Health Inc Psychiatry Current Accepting new patients
Archis Desai MD Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

770 Magnolia Ave
Ste 2K
Corona, CA 92879
Phone (909) 736-6806

9161 Sierra Ave
Ste 114
Fontana, CA 92335
Phone (909) 966-5500

1011 E Devonshire Ave
Ste 200
Hemet, CA 92543
Phone (909) 966-5500

13800 Heacock St
Ste C114
Moreno Valley, CA 92553
Phone (909) 966-5500

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

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

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

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1740451566",
    "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": "DAVID",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A104997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.