Individual provider Active NPI

Ekaterina Vassilenko Searcy, MD

  • Child & Adolescent Psychiatry Physician
  • Ramona, CA
National Provider Identifier
1861425332
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A055158 Issued in CA
Practice address
1530 Main St Ste 5
Ramona, CA 92065-5244
Phone
(760) 789-6389
Fax
(760) 789-6389
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A055158 CA Primary

Addresses

Primary practice location

1530 Main St Ste 5
Ramona, CA 92065-5244

Mailing address

650 N State St
Hemet, CA 92543-2960
Phone (951) 791-3300

Other practice location 1

2085 Rustin Ave Ste 1
Riverside, CA 92507-2498
Phone (951) 955-7320

Other names 1

  • Ekaterina Vassilenko Searcy Other name

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
I20130911000672 CA Practitioner - Psychiatry 4688818727 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A055158CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego CurrentSince Jul 19, 2013 Accepting new patients
County of San Diego CurrentSince Jul 19, 2013 Accepting new patients
County of San Diego Current Accepting new patients

Locations

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1861425332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432960",
            "telephone_number": "951-791-3300",
            "fax_number": "951-791-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MAIN ST STE 5",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655244",
            "telephone_number": "760-789-6389",
            "fax_number": "760-789-6389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 Rustin Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072498",
            "country_code": "US",
            "telephone_number": "951-955-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASSILENKO SEARCY",
        "first_name": "EKATERINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A055158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EKATERINA",
            "last_name": "SEARCY",
            "middle_name": "VASSILENKO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ramona, CA

Sources for this page

Verify at the official NPI Registry.