Individual provider Active NPI

Anca Chiritescu, M.D.

  • Psychiatry Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1821040163
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A62065 Issued in CA
Practice address
West Valley Detention Center, Medical Office
9500 Etiwanda Avenue
Rancho Cucamonga, CA 91739
Phone
(909) 708-8371
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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 A62065 CA Primary

Addresses

Primary practice location

West Valley Detention Center, Medical Office
9500 Etiwanda Avenue
Rancho Cucamonga, CA 91739

Mailing address

PO Box 366
Claremont, CA 91711-0366
Phone (909) 227-5488

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
I20090304000775 CA Practitioner - Psychiatry 6507922218 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62065CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T H E Clinic Inc CurrentSince Nov 15, 2023 Accepting new patients
Ridgecrest Regional Hospital CurrentSince May 1, 2022 Accepting new patients
Ridgecrest Regional Hospital CurrentSince May 1, 2022 Accepting new patients

Locations

3834 S Western Ave
Los Angeles, CA 90062
Phone (323) 730-1920

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1821040163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917110366",
            "telephone_number": "909-227-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST VALLEY DETENTION CENTER, MEDICAL OFFICE",
            "address_2": "9500 ETIWANDA AVENUE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91739",
            "telephone_number": "909-708-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRITESCU",
        "first_name": "ANCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A62065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.