INLAND PSYCHIATRIC MEDICAL GROUP, INC (NPI# 1003132796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003132796 |
| Entity Type | Organization |
| Organization Name | INLAND PSYCHIATRIC MEDICAL GROUP, INC |
| Practice Address |
264 N Highland Springs Ave Suite C Banning CA 92220-3082 |
| Mailing Address |
23110 Atlantic Cir Suite B Moreno Valley CA 92553-5920 |
| Practice Telephone | 9512436455 |
| Practice Fax Number | 9512430207 |
| Mailing Telephone | 9512436455 |
| Mailing Fax Number | 9512430207 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | DR. NALLAMOTHU BHUVANESWARI (PHYSICIAN) |
| Authorized Official Telephone | 9518938838 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | INLAND PSYCHIATRIC MEDICAL GROUP, INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A89852 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366742140 | Inland Psychiatric Medical Group, Inc | Psychologist | 73700 Dinah Shore Dr Ste 106, Palm Desert, CA 92211-0815 | 2010-10-27 |
| 1710016530 | Inland Psychiatric Medical Group, Inc | Psychologist | 405 Missouri Ct, Redlands, CA 92373-8083 | 2007-03-05 |
| 1548316243 | Inland Psychiatric Medical Group, Inc | Social Worker | 162 N Santa Fe St, Hemet, CA 92543-4451 | 2007-01-26 |
| 1770905663 | Inland Psychiatric Medical Group, Inc | Social Worker | 12555 Central Ave Ste C, Chino, CA 91710-3569 | 2014-01-10 |
| 1821426107 | Inland Psychiatric Medical Group, Inc | Psychologist | 28125 Bradley Rd, Ste 220, Sun City, CA 92586-2248 | 2013-10-23 |
| 1336463520 | Inland Psychiatric Medical Group, Inc | Nurse Practitioner | 540 W Baseline Rd, Suite 3, Claremont, CA 91711-1612 | 2010-03-17 |
| 1265588909 | Inland Psychiatric Medical Group, Inc | Marriage & Family Therapist | 8710 Monroe Ct, Suite 150, Rancho Cucamonga, CA 91730-4883 | 2007-01-26 |
| Street Address |
264 N HIGHLAND SPRINGS AVE SUITE C |
| City | BANNING |
| State | CA |
| Zip Code | 92220-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053303 | Frederick J Lloyd | Family Medicine | 264 N Highland Springs Ave, Banning, CA 92220-3082 | 2005-09-16 |
| 1194243642 | San Gorgonio Memorial Health Care District | Clinic/Center | 264 N Highland Springs Ave, Banning, CA 92220-3082 | 2017-09-05 |
| 1942751540 | Elsie Valencia | Nurse Practitioner | 264 N Highland Springs Ave, Building 1a, Banning, CA 92220-3082 | 2016-10-18 |
| 1881008449 | Christopher Salazar | Nurse Practitioner | 264 N Highland Springs Ave, Suite 3d, Banning, CA 92220-3082 | 2014-06-11 |
| 1912335225 | Michelle Joyce Duffy-reneau | Nurse Practitioner | 264 N Highland Springs Ave, Suite 1-a & 1-b, Banning, CA 92220-3082 | 2013-10-23 |
| 1134435597 | Christopher Brent Peeke | Dentist | 264 N Highland Springs Ave, Suite 5b, Banning, CA 92220-3082 | 2010-08-24 |
| 1083926919 | Theodore Eugene Wyman | General Practice | 264 N Highland Springs Ave, Suite 5a, Banning, CA 92220-3082 | 2010-07-08 |
| 1255581112 | Laura A Macmanus | Nurse Practitioner | 264 N Highland Springs Ave, Banning, CA 92220-3082 | 2008-09-26 |
| 1548489271 | Qazi Medical Group, Inc. | Family Medicine | 264 N Highland Springs Ave, Suite 2a, Banning, CA 92220-3082 | 2007-04-24 |
| 1598881229 | Nawazish Shahdin Qazi | Internal Medicine | 264 N Highland Springs Ave, Suite 2a, Banning, CA 92220-3082 | 2007-03-22 |
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|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447362082 | Donald Lee Anderson | Psychiatry & Neurology | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2006-08-31 |
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|---|---|---|---|---|
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| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.