Active NPI
Denise Renee Persichino, DO
- Psychiatry Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A9889
- Practice address
- 303 E Vanderbilt Way
San Bernardino, CA 92415-0026 - Phone
- (909) 388-0810
- Fax
- (909) 890-0281
- NPI assigned
- Jun 30, 2009
- Last updated
- Feb 9, 2026
- Sex
- Female
- 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 | 20A9889 | CA | Primary |
Addresses
Primary practice location
303 E Vanderbilt Way
San Bernardino, CA 92415-0026
Mailing address
303 E Vanderbilt Way
San Bernardino, CA 92415-0026
Phone (909) 388-0810
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
- Western University of Health Sciences College of Dental Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17053 Foothill Blvd
BLDG B
Fontana, CA 92335-3574
Phone (909) 347-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9889 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients |
Locations
1841 E Main St
Barstow, CA 92311
Phone (760) 255-5700
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400
17053 Foothill Blvd
Bldg B
Fontana, CA 92335
Phone (909) 347-1300
2940 Inland Empire Blvd
Ontario, CA 91764
Phone (909) 458-1350
303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801
12625 Hesperia Rd
Victorville, CA 92395
Phone (760) 955-1777
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Department of Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
-
dba Apple Valley Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
-
dba Mariposa Community Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ontario, CA
- NPI 1962612549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1871721647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E VANDERBILT WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150026",
"telephone_number": "909-388-0810",
"fax_number": "909-890-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E VANDERBILT WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150026",
"telephone_number": "909-388-0810",
"fax_number": "909-890-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSICHINO",
"first_name": "DENISE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A9889",
"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 Feb 9, 2026; 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.