Active NPI
Tapeesh Kansal, MD
- Psychiatry Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C52158
- Practice address
- 2080 S E St
San Bernardino, CA 92408-2773 - Phone
- (909) 388-9191
- NPI assigned
- Aug 4, 2005
- Last updated
- Jul 22, 2024
- Sex
- Male
- Sole proprietor
- No
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 | C52158 | CA | Primary |
Addresses
Primary practice location
2080 S E St
San Bernardino, CA 92408-2773
Mailing address
2080 S E St
San Bernardino, CA 92408-2773
Phone (951) 642-9674
Other practice location 1
5225 Canyon Crest Dr Ste 103 Bldg 100
Riverside, CA 92507-6353
Phone (951) 248-4000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (818) 518-9715
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52158 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unicare Community Health Center Inc | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Psychiatry | Current | Accepting new patients |
| Asana Integrated Medical Group PC | Psychiatry | Current | Accepting new patients |
| Pacific Heritage Medical Group Inc | Current | Accepting new patients | |
| Unicare Community Health Center Inc | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Psychiatry | Current | Accepting new patients |
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc | Psychiatry | Current | Accepting new patients |
| Telecare Corporation | Past | Accepting new patients | |
| Telecare Corporation | Past | Accepting new patients | |
| County of Monroe | Past | Accepting new patients | |
| County of Monroe | Past | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
12555 Central Ave
Ste C
Chino, CA 91710
Phone (909) 613-0100
308 N La Cadena Dr
Colton, CA 92324
Phone (909) 321-0700
23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455
437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
431 Mackay Dr
Ste 100
San Bernardino, CA 92408
Phone (909) 433-9300
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Psychiatry Physician
- Westlake Village, CA
- NPI 1467899450
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
-
dba Gateway To Recovery
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1639066491
-
- Psychiatry Physician
- Corona, CA
- NPI 1639566367
-
- Psychiatry Physician
- Chino, CA
- NPI 1770905663
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
-
dba Telecare MAPS
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1760651178
-
- Federally Qualified Health Center (FQHC)
- Fontana, CA
- NPI 1003373812
-
dba Telecare FACT
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1609046002
-
- Health Maintenance Organization
- San Bernardino, CA
- NPI 1770741282
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1841291408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 S E ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082773",
"telephone_number": "951-642-9674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 S E ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082773",
"telephone_number": "909-388-9191"
}
],
"practiceLocations": [
{
"address_1": "5225 Canyon Crest Dr Ste 103 Bldg 100",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925076353",
"country_code": "US",
"telephone_number": "951-248-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANSAL",
"first_name": "TAPEESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C52158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.