Brisas Iop, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A942233 Issued in CA

Legal business name

BRISAS IOP, LLC

Practice address

5700 Division St
Ste 200
Riverside, CA 92506-3257

Phone

(510) 685-2022

NPI assigned

Nov 17, 2014

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajagopal Keerthy Sunder, M.D.,NPI 1972572824

Title

Program Director

Phone

(510) 685-2022

Specialties & licenses 1

Addresses

Other names 1

• BRISAS IOP Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajagopal Keerthy Sunder, M.D.

  • Psychiatry Physician
  • Villa Park, CA
  • NPI 1972572824
  NPD (past) Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1811393044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 EL CERRITO PLZ",
            "address_2": "STE 266",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304011",
            "telephone_number": "510-685-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DIVISION ST",
            "address_2": "STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063257",
            "telephone_number": "510-685-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISAS IOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "SUNDER",
        "authorized_official_first_name": "RAJAGOPAL",
        "authorized_official_middle_name": "KEERTHY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "510-685-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "A942233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRISAS IOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dashanna Brinson
• Joshua Brinson
• Gordon Vincent Brion, M.D.
• Jasmine Briones
• Jasmine Maree Briones
• Angeles Myranda Briseno
• Daniel Briseno
• Jennifer Briseno
• Michelle Lee Brison
• Bristol Hospice - Inland Empire, LLC (Bristol Hospice - Inland Empire)

• Substance Use Disorder Rehabilitation Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.