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INLAND PSYCHIATRIC MEDICAL GROUP INC
NPI 1225786346
Psychiatry & Neurology - Psychiatry in San Juan Capistrano, CA

Active since March 17, 2022CLIA 05D2328224 · Waiver
30240 RANCHO VIEJO RD STE E, SAN JUAN CAPISTRANO, CA 92675(949) 226-6914(949) 276-2582 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Inland Psychiatric Medical Group Inc NPPES

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

INLAND PSYCHIATRIC MEDICAL GROUP INC (NPI 1225786346) is a healthcare organization registered as a psychiatry in San Juan Capistrano, California and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Amber Gutierrez, Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1225786346
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameINLAND PSYCHIATRIC MEDICAL GROUP INC
Location Address30240 RANCHO VIEJO RD STE ESan Juan Capistrano, CA 92675-1515
Mailing Address1809 W Redlands BlvdRedlands, CA 92373-8054 · (909) 289-4075 · Fax (909) 363-8233
Phone(949) 226-6914
Fax(949) 276-2582
Organization SubpartNo
Authorized OfficialAmber GutierrezProvider Relations · (909) 289-4075
Enumeration DateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1225786346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
30240 RANCHO VIEJO RD STE E, San Juan Capistrano, CA 92675
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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

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 of Waiver 05D2328224

Inland Psychiatric Medical Group, Inc · San Juan Capistrano, CA
Active · expires Aug 5, 2027
CLIA Number05D2328224
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorNeelima Kunam
Laboratory Phone(949) 226-6914
Laboratory LocationInland Psychiatric Medical Group, Inc30240 Rancho Viejo, Suite #e, San Juan Capistrano, CA 92675
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Inland Psychiatric Medical Group Inc's NPI number?

The NPI number for Inland Psychiatric Medical Group Inc is 1225786346. It was assigned to this organization in the NPPES registry on March 17, 2022.

Where is Inland Psychiatric Medical Group Inc located?

Inland Psychiatric Medical Group Inc is located at 30240 Rancho Viejo Rd Ste E, San Juan Capistrano, CA 92675. The listed phone number is (949) 226-6914.

What is Inland Psychiatric Medical Group Inc's specialty?

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

Does Inland Psychiatric Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2328224) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Inland Psychiatric Medical Group Inc was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.