RIVERSIDE IMAGING LLC (NPI# 1104818459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104818459 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE IMAGING LLC |
| Other Organization Name | COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE |
| Practice Address |
4000 14th St Suite 109 Riverside CA 92501-4083 |
| Practice Telephone | 9512767500 |
| Practice Fax Number | 9512767543 |
| Mailing Telephone | 9512767500 |
| Mailing Fax Number | 9512767543 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | MR. LAVELLE HARDIN (COORDINATOR) |
| Authorized Official Telephone | 6153448203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RR MEDICARE | P00380860 | 01 |
| CA | IDTF00710 | 05 |
| Other Name | Type Code |
|---|---|
| Computerized Diagnostic Imaging Centers - Riverside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124206941 | Riverside Imaging LLC | Radiology | 4000 14th St, Suite 109, Riverside, CA 92501-4083 | 2008-02-04 |
| Street Address |
4000 14TH ST SUITE 109 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620411 | James Alvin Bartley | Medical Genetics | 4000 14th St, Suite # 310, Riverside, CA 92501-4083 | 2005-06-22 |
| 1205181757 | Orange Psychiatric Medical Group, Inc | Counselor | 4000 14th St, Suite 310a, Riverside, CA 92501-4018 | 2012-07-20 |
| 1811124217 | Ronald Lo Md Inc | Specialist | 4000 14th St, Ste 209, Riverside, CA 92501-4083 | 2009-06-12 |
| 1124206941 | Riverside Imaging LLC | Radiology | 4000 14th St, Suite 109, Riverside, CA 92501-4083 | 2008-02-04 |
| 1447441738 | Computerized Diagnostic Imaging Center | Specialist | 4000 14th St, Suite #109, Riverside, CA 92501-4083 | 2007-08-05 |
| 1285834200 | Andrew Ho, M.d., Inc. | Internal Medicine | 4000 14th St, Suite 412, Riverside, CA 92501-4083 | 2007-07-18 |
| 1679777940 | Joseph G Hubbard Md Inc | Specialist | 4000 14th St, Ste 302, Riverside, CA 92501-4083 | 2007-06-12 |
| 1639373913 | Lawrence E Clark Md Inc | Specialist | 4000 14th St, Ste 302, Riverside, CA 92501-4083 | 2007-06-12 |
| 1477689024 | Riverside Neurosurgical Associates | Specialist | 4000 14th St, 302, Riverside, CA 92501-4083 | 2007-02-26 |
| 1568502425 | Hilario Astudillo Marilao | Specialist | 4000 14th St, Ste. 211, Riverside, CA 92501-4083 | 2007-02-07 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1295990844 | Vhs of Illinois Inc | Clinic/Center | 3722 Harlem Ave, Suite Ll20, Riverside, IL 60546-2312 | 2008-07-23 |
| 1710158498 | On-line Radiology Medical Group Inc | Clinic/Center | 1770 Iowa Ave, Suite 280, Riverside, CA 92507-2430 | 2008-03-20 |
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| 1720625742 | F&m Radiology Medical Center Inc | Clinic/Center | 17779 Ventura Blvd # 100, Encino, CA 91316-3717 | 2019-12-09 |
| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
| 1831657964 | Desert Physicians United, Inc. | Clinic/Center | 16659 Muni Rd, Apple Valley, CA 92307-1375 | 2019-03-07 |
| 1215424965 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 2600 Redondo Ave Ste 101, Long Beach, CA 90806-2325 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
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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.