RIVERSIDE RADIOLOGY MEDICAL GROUP INC (NPI# 1013092394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013092394 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RADIOLOGY MEDICAL GROUP INC |
| Practice Address |
4500 Brockton Ave Suite 219 Riverside CA 92501-4090 |
| Mailing Address |
Po Box 15648 Sacramento CA 95852 |
| Practice Telephone | 9512767550 |
| Practice Fax Number | 9512769883 |
| Mailing Telephone | 9517812270 |
| Mailing Fax Number | 9517812293 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | DONALD R. MASSEE (SECRETARY) |
| Authorized Official Telephone | 9517883400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0104280 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901961 | Riverside Radiology Medical Group Inc | Radiology | 1543 Village Way, Mount Shasta, CA 96067-9442 | 2017-09-19 |
| 1467970533 | Riverside Radiology Medical Group Inc | Radiology | 36750 Palmdale Rd, Rancho Mirage, CA 92270-2232 | 2017-09-08 |
| 1699844613 | Riverside Radiology Medical Group Inc | Radiology | 4000 14th Street, Suite 109, Riverside, CA 92501-4083 | 2006-11-06 |
| 1679574594 | Riverside Radiology Medical Group Inc | Radiology | 12276 Hesperia Rd, Ste 6, Victorville, CA 92395-5838 | 2005-08-02 |
| 1699776526 | Riverside Radiology Medical Group Inc | Radiology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2005-08-02 |
| Street Address |
4500 BROCKTON AVE SUITE 219 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770974 | Jan Paul Maddox | Pain Medicine | 4500 Brockton Ave, Ste 305, Riverside, CA 92501-4028 | 2005-06-14 |
| 1831656578 | Lucyana Magrietta Panjaitan | Nurse Practitioner | 4500 Brockton Ave, Riverside, CA 92501-4090 | 2019-02-28 |
| 1518401546 | Faculty Physicians and Surgeons of Llusm | Physician Assistant | 4500 Brockton Ave, Ste 201, Riverside, CA 92501-4090 | 2016-12-09 |
| 1396108940 | Thaker Urological Center, Inc. | Specialist | 4500 Brockton Ave, Suite 204, Riverside, CA 92501-4090 | 2016-03-31 |
| 1063874337 | Mission Urology, Inc. | Internal Medicine | 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027 | 2016-03-24 |
| 1558759969 | Mid-valley Surgicenter Inc | Clinic/Center | 4500 Brockton Ave, Suite 105, Riverside, CA 92501-4090 | 2015-01-07 |
| 1306254669 | Jocelyn Cases | Nurse Practitioner | 4500 Brockton Ave, Suite 315, Riverside, CA 92501-4090 | 2014-07-30 |
| 1841530169 | Jennifer Lynn Gilden | Physician Assistant | 4500 Brockton Ave, Riverside, CA 92501-4090 | 2013-02-22 |
| 1275881609 | Sri Gorty M.d. Inc | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-15 |
| 1780931709 | Munther Alqaisi M.d. A Professional Medical Corporation | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348036 | Good Shepherd Healthcare LLC | Radiology | 9395 Magnolia Ave, Riverside, CA 92503-3747 | 2018-12-24 |
| 1982028486 | Riverside Radiology Medical Group, Inc. | Radiology | 1660 Chicago Ave, Suite # M-9, Riverside, CA 92507-2068 | 2014-02-05 |
| 1295057115 | 3dr Imaging Services, LLC | Radiology | 3211 Van Buren Blvd, Riverside, CA 92503-5640 | 2010-02-19 |
| 1922121979 | Glendale Diagnostic Imaging Network Medical Office | Radiology | 9496 Magnolia Ave Ste 101, Riverside, CA 92503-3733 | 2007-04-06 |
| 1366503799 | Tristan Molina Gale | Radiology | 170 Iowa Ave Suite 280, Riverside, CA 92507-7777 | 2006-12-12 |
| 1699844613 | Riverside Radiology Medical Group Inc | Radiology | 4000 14th Street, Suite 109, Riverside, CA 92501-4083 | 2006-11-06 |
| 1003999103 | Danh Tien Nguyen | Radiology | 4334 Central Ave, Riverside, CA 92506-2918 | 2006-10-23 |
| 1053345926 | Nikhil C Patel | Radiology | 4361 Latham St, Riverside, CA 92501-1730 | 2006-07-10 |
| 1194703819 | Kathryn Occhipinti | Radiology | 1770 Iowa Ave, Riverside, CA 92507-2430 | 2006-01-03 |
| 1801897731 | Donald R Massee | Radiology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2005-08-02 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on RIVERSIDE RADIOLOGY MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.