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BRIDGE TELEHEALTH PC
NPI 1275266264
Psychiatry & Neurology - Psychiatry in Fullerton, CA

Active since July 06, 2022
101 E VALENCIA MESA DR, FULLERTON, CA 92835(714) 871-3280 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2022, Jul 6, 2022 (2 updates tracked since 2022).

About Bridge Telehealth Pc NPPES

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

BRIDGE TELEHEALTH PC (NPI 1275266264) is a healthcare organization registered as a psychiatry in Fullerton, California and active in the NPI registry since July 2022. The organization lists Kishore K Desagani, President, as its authorized official.

NPPES Registry Identity

NPI1275266264
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBRIDGE TELEHEALTH PC
Location Address101 E VALENCIA MESA DRFullerton, CA 92835-3809
Mailing Address4199 Campus Dr Ste 550Irvine, CA 92612-4694 · (888) 912-7434
Phone(714) 871-3280
Organization SubpartNo
Authorized OfficialKishore K DesaganiPresident · (949) 689-0288
Enumeration DateJuly 6, 2022
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1275266264 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.
101 E VALENCIA MESA DR, Fullerton, CA 92835
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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)

Bridge Telehealth Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bridge Telehealth PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Kishore Desagani, M.D.
Psychiatry
NPI 1427084839
101 E VALENCIA MESA DR
Fullerton, CA 92835
(949) 689-0288
✔ PECOS✔ Accepts MedicareSame address
Mandeep Reddy, MD
Psychiatry
NPI 1972796563
101 E VALENCIA MESA DR
Fullerton, CA 92835
(714) 397-5110
✔ PECOS✔ Accepts MedicareSame address
Koa Wier
Nurse Practitioner
NPI 1740848670
999 N TUSTIN AVE STE G1
Santa Ana, CA 92705
(714) 545-5550
✔ PECOS✔ Accepts Medicare11 mi
Britany Alexander, M. D.
Psychiatry
NPI 1891929832
1000 W CARSON ST
Torrance, CA 90502
(714) 745-1156
✔ PECOS21 mi
Rohzan Altre, PMHNP-BC
Nurse Practitioner
NPI 1093005225
6200 CANOGA AVE STE 210
Woodland Hills, CA 91367
(818) 805-4296
✔ PECOS✔ Accepts Medicare43 mi

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 Bridge Telehealth PC's NPI number?

The NPI number for Bridge Telehealth PC is 1275266264. It was assigned to this organization in the NPPES registry on July 6, 2022.

Where is Bridge Telehealth PC located?

Bridge Telehealth PC is located at 101 E Valencia Mesa Dr, Fullerton, CA 92835. The listed phone number is (714) 871-3280.

What is Bridge Telehealth PC's specialty?

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

Is Bridge Telehealth PC enrolled in Medicare?

Yes. Bridge Telehealth PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridge Telehealth PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Bridge Telehealth PC. 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 (3) and Nurse Practitioner (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bridge Telehealth PC was last updated on September 23, 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.