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DEPARTMENT OF STATE HOSPITALS - PATTON
NPI 1043249204
Psychiatric Hospital in Patton, CA

Active since July 01, 2006CLIA 05D0914394 · Microscopy
3102 E HIGHLAND AVE, PATTON, CA 92369(909) 425-7552(909) 425-6407 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Department Of State Hospitals - Patton NPPES

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

DEPARTMENT OF STATE HOSPITALS - PATTON (NPI 1043249204) is a healthcare organization registered as a psychiatric hospital in Patton, California and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through April 28, 2028 and lists Guadalupe M Alonzo-diaz, Administrative Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1043249204
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameDEPARTMENT OF STATE HOSPITALS
Location Address3102 E HIGHLAND AVEPatton, CA 92369-7813
Mailing Address1215 O Street, Ms-3, Patient Cost Recovery SectionSacramento, CA 95814-6414 · (916) 651-8811 · Fax (916) 651-8908
Phone(909) 425-7552
Fax(909) 425-6407
Organization SubpartYes
Authorized OfficialGuadalupe M Alonzo-diazAdministrative Deputy Director · (916) 654-2655
Enumeration DateJuly 1, 2006
Last NPPES UpdateJune 28, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1043249204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in CA · 170000831
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 170000831 (CA)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 170000831 (CA)
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 170000831 (CA)
Also ListedPharmacyTaxonomy 333600000X · License 170000831 (CA)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 170000831 (CA)
3102 E HIGHLAND AVE, Patton, CA 92369
Open in Google Maps ↗

Other Names 1

Doing Business AsDepartment Of State Hospitals - Patton

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Department Of State Hospitals - Patton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

746

Medicare enrollment records show 746 clinicians reassign Medicare billing to Department Of State Hospitals - Patton, which bills Medicare for the services they deliver. Of these, 11 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Psychiatry350
Clinical Psychologist133
Internal Medicine74
Family Practice47
Nurse Practitioner46
Clinical Social Worker8
General Practice8
Hospitalist7
27 other specialties73

Nearest to this location (20)

See all 746
Rainer Bansuan, M.D.
Family Practice
NPI 1336258037
3102 E HIGHLAND AVE
Patton, CA 92369
(909) 815-0965
✔ PECOSSame address
Rikayah Benoit, LCSW
Clinical Social Worker
NPI 1356581409
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7000
✔ PECOSSame address
Luz Donato-Sandoval
Clinical Psychologist
NPI 1972124691
3102 E HIGHLAND AVE
Patton, CA 92369
(714) 299-4575
✔ PECOSSame address
Piyonik Hartounian, PSY.D.
Clinical Psychologist
NPI 1194161679
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7000
✔ PECOSSame address
Loren King, PH.D.
Clinical Psychologist
NPI 1598025165
3102 E HIGHLAND AVE
Patton, CA 92369
(909) 425-6417
✔ PECOS✔ Accepts MedicareSame address
Nitin Kulkarni, M.D.
Psychiatry
NPI 1487698304
3102. E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7679
✔ PECOSSame address
Laurel Mattos, PH.D.
Clinical Psychologist
NPI 1720674633
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7000
✔ PECOSSame address
James Maurer, M.D.
Psychiatry
NPI 1659323392
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7679
✔ PECOS✔ Accepts MedicareSame address
Desiree Montes, D.O.
Psychiatry
NPI 1699090324
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7679
✔ PECOSSame address
Bolanle Oluwadara, M.D.
Psychiatry
NPI 1124250188
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7000
✔ PECOS✔ Accepts MedicareSame address
Inderjit Singh, M.D.
Internal Medicine
NPI 1417025388
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7000
✔ PECOSSame address
Craig Kaiser, D. O.
Psychiatry
NPI 1396760138
57407 TWENTYNINE PALMS HWY SUITE B
Yucca Valley, CA 92284
(760) 366-1541
✔ PECOS✔ Accepts Medicare56 mi
Elizabeth White, PH.D., ABPP
Clinical Psychologist
NPI 1952861239
27307 STATE HWY 189 #102
Lake Arrowhead, CA 92352
(661) 478-9799
✔ PECOS82 mi
Brigitte Willis, M.D., PH.D.
Family Practice
NPI 1114275930
1627 S HARGRAVE ST
Banning, CA 92220
(951) 922-7852
✔ PECOS✔ Accepts Medicare82 mi
Dai Du, M.D.
Emergency Medicine
NPI 1962440750
5957 W RAMSEY ST
Banning, CA 92220
(951) 845-0313
✔ PECOS✔ Accepts Medicare84 mi
James Jetton, DDS
Oral Surgery
NPI 1295775252
YUCAIPA VALLEY SPANISH SDA CHURCH 12504 4TH ST
Yucaipa, CA 92399
(909) 518-4133
✔ PECOS84 mi
Hoa Vu, MD
Nephrology
NPI 1528041092
7223 CHURCH ST SUITE A-20
Highland, CA 92346
(909) 381-3900
✔ PECOS85 mi
Ravneet Singh, M.D.
Internal Medicine
NPI 1568491066
7000 BOULDER AVE
Highland, CA 92346
(909) 862-1191
✔ PECOS86 mi
Sjoekie Sasbone, LCSW
Clinical Social Worker
NPI 1609196674
3102 E HIGHLAND AVE OFC
Patton, CA 92369
(909) 425-7000
✔ PECOS✔ Accepts Medicare86 mi
Rosemary Chequer, M.D.
Neurology
NPI 1821068784
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
Patton, CA 92369
(909) 425-7679
✔ PECOS✔ Accepts Medicare86 mi
See all 746 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0914394

Department Of State Hospitals - Patton · Patton, CA
Active · expires Apr 28, 2028
CLIA Number05D0914394
Laboratory TypeForensic Fac Draw Station
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorLuzmin Inderias
Laboratory Phone(909) 425-6268
Laboratory LocationDepartment Of State Hospitals - Patton3102 East Highland Ave Eb Bldg, 2nd Fl, Patton, CA 92369
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Department Of State Hospitals's NPI number?

The NPI number for Department Of State Hospitals is 1043249204. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Department Of State Hospitals - Patton.

Where is Department Of State Hospitals located?

Department Of State Hospitals is located at 3102 E Highland Ave, Patton, CA 92369. The listed phone number is (909) 425-7552.

What is Department Of State Hospitals's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Department Of State Hospitals enrolled in Medicare?

Yes. Department Of State Hospitals is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Department Of State Hospitals?

According to the CMS Revalidation Reassignment List (October 2026 release), 746 clinicians in 35 Medicare specialties reassign their Medicare billing to Department Of State Hospitals. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (350), Clinical Psychologist (133) and Internal Medicine (74). Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Department Of State Hospitals hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0914394) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Department Of State Hospitals accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 32 other insurers list Department Of State Hospitals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Department Of State Hospitals was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.