| Archis Desai MD Inc. | |
|
1030 Nevada St Ste 101 Redlands CA 92374-2957 | |
| (909) 966-5500 | |
| (909) 966-5222 |
| Full Name | Archis Desai MD Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1030 Nevada St Ste 101, Redlands, California |
| Authorized Official Name and Position | Archis D Desai (MEDICAL DOCTOR) |
| Authorized Official Contact | 9099665500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archis Desai MD Inc. 1030 Nevada St Ste 101 Redlands CA 92374-2957 Ph: (909) 966-5500 | Archis Desai MD Inc. 1030 Nevada St Ste 101 Redlands CA 92374-2957 Ph: (909) 966-5500 |
| NPI Number | 1639696412 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 11/20/2025 |
| Certification Date | 11/20/2025 |
| Medicare PECOS PAC ID | 0345501060 |
|---|---|
| Medicare Enrollment ID | O20180419001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639696412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ralph P Lissaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245287960 PECOS PAC ID: 1557318870 Enrollment ID: I20050407000879 |
| Provider Name | David P Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740451566 PECOS PAC ID: 2961696885 Enrollment ID: I20101104000167 |
| Provider Name | Uchenna G Orji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457770836 PECOS PAC ID: 8325004880 Enrollment ID: I20150617002610 |
| Provider Name | Archis D Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396141230 PECOS PAC ID: 8224301312 Enrollment ID: I20180524001109 |
| Provider Name | Arnon David Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619339991 PECOS PAC ID: 0345534863 Enrollment ID: I20190918000644 |
| Provider Name | Jay Chae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275237422 PECOS PAC ID: 8022475383 Enrollment ID: I20230601002444 |
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