Individual provider Active NPI

Yanjapriya Kunaseelan

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1962816694
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A145311 Issued in CA
Practice address
4646 Brockton Ave Ste 203
Riverside, CA 92506-0104
Phone
(951) 774-2870
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A145311 CA Primary

Addresses

Primary practice location

4646 Brockton Ave Ste 203
Riverside, CA 92506-0104

Mailing address

4646 Brockton Ave
Ste 203
Riverside, CA 92506-0104
Phone (951) 774-2881

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
I20170912001597 CA Practitioner - Family Practice 9234402397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raincross Urgent Care, Inc.Group PAC ID 7315330917, 3 clinicians
Raincross Medical Group IncGroup PAC ID 9638079304, 6 clinicians

Practice addresses (Care Compare)

4646 Brockton Ave
Suite 101
Riverside, CA 92506-0103
Phone (951) 774-2860

4646 Brockton Ave
Suite 203
Riverside, CA 92506-0104
Phone (951) 774-2881

Hospital & facility affiliations

  • Mission Home Health of Ontario, Inc Home health agency, Ontario, CA, CCN 559309
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145311CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raincross Urgent Care, Inc. CurrentSince Jan 1, 2022 Accepting new patients

Locations

4646 Brockton Ave
Ste 202
Riverside, CA 92506
Phone (909) 774-2800

4646 Brockton Ave
Ste 101
Riverside, CA 92506
Phone (951) 774-2755

4646 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 394-7028

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yanjapriya.kunaseelan@695428936433668.direct.elationemr.com
  • Direct secure messaging: yanjapriya.kunaseelan@403277232537604.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962816694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE",
            "address_2": "STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060104",
            "telephone_number": "951-774-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060104",
            "telephone_number": "951-774-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNASEELAN",
        "first_name": "YANJAPRIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A145311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.