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SREE DATLA
NPI 1023704319
Psychiatry & Neurology - Psychiatry in Colton, CA

Active since April 11, 2023PECOS Enrolled
400 N PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2025, Jun 17, 2025, Dec 30, 2024 and 1 more (4 updates tracked since 2023).

About Sree Datla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SREE DATLA (NPI 1023704319) is an individual psychiatry provider in Colton, California, licensed in California (A197257) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023704319
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSREE DATLA
Location Address400 N PEPPER AVEColton, CA 92324-1819
Mailing Address23141 Verdugo Dr Ste 201Laguna Hills, CA 92653-1341
Phone(909) 580-1000
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateNovember 4, 20254 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1023704319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A197257
Definition
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.
400 N PEPPER AVE, Colton, CA 92324
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sree Datla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE J CALHOUN
Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
CINDY COZART
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
ARROWHEAD REGIONAL MEDICAL CENTER
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1000
LINDA MATTHEWS
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
BRANDI DEUEL
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
CHIQUE LOU FLORES RN
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
KEVIN THIEN ONG
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (510) 525-6927
CAROLYN M DOHERTY MD
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324
San Bernardino County (909) 580-3353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sree Datla's NPI number?

The NPI number for Sree Datla is 1023704319. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Sree Datla located?

Sree Datla practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1000.

What is Sree Datla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sree Datla enrolled in Medicare?

Yes. Sree Datla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sree Datla was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.