Active NPI
Nathan Rogers, M.D.
- Psychiatry Physician
- Riverside, CA
National Provider Identifier
1891140125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A154130
- Practice address
- 4095 County Circle Dr
Riverside, CA 92503-3410 - Phone
- (951) 358-4500
- NPI assigned
- Apr 23, 2016
- 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 | A154130 | CA | Primary |
Addresses
Primary practice location
4095 County Circle Dr
Riverside, CA 92503-3410
Mailing address
9990 County Farm Rd
Riverside, CA 92503-3542
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
- Tufts University School of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1215 O St
Ms 3
Sacramento, CA 95814-5685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154130 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- nrogers101399@direct.llu.edu
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1891140125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9990 COUNTY FARM RD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4095 COUNTY CIRCLE DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033410",
"telephone_number": "951-358-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-23",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A154130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.