ADVANCED INTERVENTIONAL PAIN AND WELLNESS CENTER INC (NPI# 1053568030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053568030 |
| Entity Type | Organization |
| Organization Name | ADVANCED INTERVENTIONAL PAIN AND WELLNESS CENTER INC |
| Practice Address |
6700 Indiana Ave Suite 145 Riverside CA 92506-4290 |
| Mailing Address |
218 Avenida La Cuesta San Clemente CA 92672-2139 |
| Practice Telephone | 9512489240 |
| Practice Fax Number | 9512489263 |
| Mailing Telephone | 9494441885 |
| Mailing Fax Number | 8888736807 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | DR. LARRY GILBERT DING (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9494441886 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A66008 | CA | Ambulatory Health Care Facilities |
| Street Address |
6700 INDIANA AVE SUITE 145 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842331 | Ryan Yee Wong | Chiropractor | 6700 Indiana Ave, Ste 165, Riverside, CA 92506 | 2005-06-23 |
| 1972103059 | Tracy Leal | Marriage & Family Therapist | 6700 Indiana Ave, Riverside, CA 92506-4290 | 2020-10-28 |
| 1548729429 | Marisol Camacho-reeves | Marriage & Family Therapist | 6700 Indiana Ave, Riverside, CA 92506-4290 | 2019-03-19 |
| 1538630363 | Gema Sanchez | Marriage & Family Therapist | 6700 Indiana Ave, Riverside, CA 92506-4290 | 2018-12-05 |
| 1194218370 | Stephanie Rosales | Counselor | 6700 Indiana Ave, Riverside, CA 92506-4290 | 2018-06-12 |
| 1649794272 | Elizabeth Martinez Contreras | Counselor | 6700 Indiana Ave, Riverside, CA 92506-4290 | 2017-07-25 |
| 1124557004 | Andres Lopez | Counselor | 6700 Indiana Ave, Riverside, CA 92506-4290 | 2017-06-05 |
| 1700325990 | Amanda Morales Salado | Marriage & Family Therapist | 6700 Indiana Ave, Riverside, CA 92506-4290 | 2017-02-21 |
| 1275076267 | Kisha Bashkiharatee | Counselor | 6700 Indiana Ave, Riverside, CA 92506-4290 | 2016-11-23 |
| 1306209580 | Ha Chiropractic, Corp | Chiropractor | 6700 Indiana Ave, 100, Riverside, CA 92506-4290 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 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.