Individual provider Active NPI

Riana Leake Chagoury, M.A.

  • Psychologist
  • Victorville, CA
National Provider Identifier
1851644538
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32343 Issued in CA
Practice address
15030 7TH St
Victorville, CA 92395-3811
Phone
(833) 438-8763
Fax
(833) 438-8700
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychologist 103T00000X 32343 CA Primary

Addresses

Primary practice location

15030 7TH St
Victorville, CA 92395-3811

Mailing address

1625 Schrader Blvd
Los Angeles, CA 90028-6213
Phone (323) 860-5844

Other practice location 1

1625 Schrader Blvd
Los Angeles, CA 90028-6213
Phone (323) 860-5844

Other practice location 2

18056 Wika Rd Ste C
Apple Valley, CA 92307-2194
Phone (833) 438-8763

Other practice location 3

1513 S Grand Ave Ste 200
Los Angeles, CA 90015-3075
Phone (833) 438-8763

Other practice location 4

43845 10th St W Ste 2D
Lancaster, CA 93534-4800
Phone (833) 438-8763

Other practice location 5

2150 N Waterman Ave
San Bernardino, CA 92404-4811
Phone (833) 438-8763

Other practice location 6

38920 Trade Center Dr
Palmdale, CA 93551-3715
Phone (833) 438-8763

Other identifiers 1

IdentifierTypeStateIssuer
01261511MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Interoperability endpoints

  • Direct secure messaging: rianachagoury@wdsmdinc.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1851644538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SCHRADER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286213",
            "telephone_number": "323-860-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953811",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Schrader Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286213",
            "country_code": "US",
            "telephone_number": "323-860-5844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18056 Wika Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923072194",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1513 S Grand Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153075",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43845 10th St W Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344800",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 N Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924044811",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38920 Trade Center Dr",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935513715",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAGOURY",
        "first_name": "RIANA",
        "middle_name": "LEAKE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "32343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01261511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.