DR. RYAN BRADLEY ESTACIO ORTIZO (NPI# 1083173348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083173348 |
| Entity Type | Individual |
| Full Name | DR. RYAN BRADLEY ESTACIO ORTIZO |
| Credential | MD |
| Practice Address |
4445 Magnolia Ave Ofc Riverside CA 92501-4199 |
| Practice Telephone | 9517883000 |
| Mailing Telephone | 9517883000 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4445 MAGNOLIA AVE OFC |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528599776 | Tri Minh Nguyen | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4135 | 2017-03-21 |
| 1609496751 | Kathleen Isabel Lopez | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4199 | 2020-04-18 |
| 1396206629 | Andre Sahakian | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4199 | 2019-03-28 |
| 1922569631 | Rita Marie Ishkhanian | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4199 | 2019-03-26 |
| 1912467978 | Sierra Suzon Elsken | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4199 | 2019-03-24 |
| 1154881365 | Manvir Singh Wadhwa | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4199 | 2019-03-22 |
| 1295294445 | Kathryn Roberts | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4199 | 2019-03-18 |
| 1770042897 | Itamar Livnat | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4199 | 2019-03-18 |
| 1386103661 | Michael Thayer Christensen | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4135 | 2019-03-17 |
| 1508325853 | Jacob Langston | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4199 | 2019-03-17 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870365 | Monica Sameh Hanna | Student in an Organized Health Care Education/Training Program | University of California Riverside School of Medicine, 14350 Meridian Pkwy # 2, Riverside, CA 92518-3035 | 2020-04-21 |
| 1861011876 | Monika Ellyn Garcia | Student in an Organized Health Care Education/Training Program | 14350 Meridian Parkway Box #2, Riverside, CA 92518 | 2020-04-09 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1114553765 | Pamela Picchi | Student in an Organized Health Care Education/Training Program | 111 Prescott Ave, Riverside, RI 02915-1944 | 2020-03-16 |
| 1538794094 | Jason Washington | Student in an Organized Health Care Education/Training Program | 4301 La Sierra Ave Apt 50, Riverside, CA 92505-2906 | 2020-03-05 |
| 1144860404 | Brian Jisu Shin | Student in an Organized Health Care Education/Training Program | 8293 Perla Dr, Riverside, CA 92504-2419 | 2020-01-14 |
| 1609415116 | Broderich Alexander Durley | Student in an Organized Health Care Education/Training Program | 14235 Oakley Dr, Riverside, CA 92503-7236 | 2019-12-31 |
| 1861031353 | Alex Tovar | Student in an Organized Health Care Education/Training Program | 16901 Clementine Ct, Riverside, CA 92503-6935 | 2019-12-31 |
| 1477192979 | Gregory David White | Student in an Organized Health Care Education/Training Program | 7965 Los Arboles Pl, Riverside, CA 92504-3530 | 2019-12-31 |
| 1407497076 | Guadalupe Rocha | Student in an Organized Health Care Education/Training Program | 10135 Hillsborough Ln, Riverside, CA 92503-1018 | 2019-10-03 |
| Find all providers in RIVERSIDE | ||||
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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.