ERIC B RAIMO M D A PROFESSIONAL MEDICAL CORPORATION
NPI 1255845962
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since November 17, 2017
4147 ADAMS AVE, SAN DIEGO, CA 92116(619) 850-9889(619) 281-1947 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 21, 2024, Nov 17, 2017 (2 updates tracked since 2017).

About Eric B Raimo M D A Professional Medical Corporation NPPES

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

ERIC B RAIMO M D A PROFESSIONAL MEDICAL CORPORATION (NPI 1255845962) is a healthcare organization registered as a psychiatry in San Diego, California and active in the NPI registry since November 2017. The organization lists Eric B Raimo, President, as its authorized official.

NPPES Registry Identity

NPI1255845962
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameERIC B RAIMO M D A PROFESSIONAL MEDICAL CORPORATION
Location Address4147 ADAMS AVESan Diego, CA 92116-2509
Mailing Address4147 Adams AveSan Diego, CA 92116-2509 · (619) 850-9889 · Fax (619) 281-1947
Fax(619) 281-1947
Organization SubpartNo
Authorized OfficialEric B RaimoPresident · (619) 281-1932
Enumeration DateNovember 17, 2017
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1255845962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4147 ADAMS AVE, San Diego, CA 92116

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric B Raimo M D A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eric B Raimo M D A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1568429389
4147 ADAMS AVENUE
San Diego, CA 92116
(619) 281-1932
✔ PECOS✔ Accepts MedicareSame address

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

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 Eric B Raimo M D A Professional Medical Corporation's NPI number?

The NPI number for Eric B Raimo M D A Professional Medical Corporation is 1255845962. It was assigned to this organization in the NPPES registry on November 17, 2017.

Where is Eric B Raimo M D A Professional Medical Corporation located?

Eric B Raimo M D A Professional Medical Corporation is located at 4147 Adams Ave, San Diego, CA 92116. The listed phone number is (619) 850-9889.

What is Eric B Raimo M D A Professional Medical Corporation's specialty?

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

Is Eric B Raimo M D A Professional Medical Corporation enrolled in Medicare?

Yes. Eric B Raimo M D A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eric B Raimo M D A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Eric B Raimo M D A Professional Medical Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eric B Raimo M D A Professional Medical Corporation was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.