Individual provider Active NPI

Edder Ramon Duarte, MD, PHD

  • Psychiatry Physician
  • Riverside, CA
National Provider Identifier
1891361416
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A182419 Issued in CA
Practice address
14350 Meridian Pkwy
Riverside, CA 92518-3035
Phone
(951) 827-4618
NPI assigned
Jun 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A182419 CA Primary

Addresses

Primary practice location

14350 Meridian Pkwy
Riverside, CA 92518-3035

Mailing address

14350 Meridian Pkwy
Riverside, CA 92518-3035
Phone (951) 827-4618

Other names 1

  • Dr. Edder Ramon Lopez Former name

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Southern California Keck School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

222 W Hospitality LN
FL 4
San Bernardino, CA 92415-0013

500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A182419CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California, Health Riverside CurrentSince Jun 6, 2021 Accepting new patients

Locations

14350 Meridian Pkwy
Riverside, CA 92518
Phone (909) 475-2612

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.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1891361416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 MERIDIAN PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183035",
            "telephone_number": "951-827-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 MERIDIAN PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183035",
            "telephone_number": "951-827-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "EDDER",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A182419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDER",
            "last_name": "LOPEZ",
            "middle_name": "RAMON",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.