ANITA BHAGAVATH (NPI# 1124394135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124394135 |
| Entity Type | Individual |
| Full Name | ANITA BHAGAVATH |
| Credential | M.D |
| Practice Address |
4234 Riverwalk Pkwy Ste 230 Riverside CA 92505-3312 |
| Practice Telephone | 9513735826 |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
19181 | NH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 166 Kinsley St Ste 101, Nashua, NH 030603676 | 6038894131 | 6038896419 |
| 15 Collingwood Dr, Huntington Station, NY 117464736 | 6315490919 | |
| 4234 Riverwalk Pkwy Ste 230, Riverside, CA 925053312 | 9513735826 |
| Street Address |
4234 RIVERWALK PKWY STE 230 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829843 | Ali Mojaverian | Internal Medicine | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505 | 2005-08-30 |
| 1093344004 | Tom A Bui | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2020-04-02 |
| 1407491574 | Michael Giles | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-11-13 |
| 1609424027 | Matthew Jordan Santa Cruz | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-08-28 |
| 1578125829 | Stephanie Dwyer | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-07-07 |
| 1841774817 | Blessy Sabu | Nurse Practitioner | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2018-09-17 |
| 1659899813 | Jennifer Crystal Lievanos | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2017-09-07 |
| 1316460249 | Sammy Lei | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2017-07-23 |
| 1881085207 | Mohammad Malekzadegan | Internal Medicine | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2015-02-06 |
| 1669882130 | Sylvia Soo | Psychiatry & Neurology | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2014-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 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 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578588034 | Keith D Stottlemyer | Internal Medicine | 4646 Brooklyn Ave, Suite 203, Riverside, CA 92506 | 2006-07-13 |
| 1063497576 | Franklin D Mccool | Internal Medicine | 375 Wampanoag Trl Ste 302b, Riverside, RI 02915-2235 | 2005-12-08 |
| 1336383157 | Christopher John Mullin | Internal Medicine | 375 Wampanoag Trl Ste 302b, Riverside, RI 02915-2235 | 2009-04-23 |
| 1467511170 | Vinod Kumar Ambastha | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-08 |
| 1467529289 | Nikhil Dinesh Shah | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| 1285701003 | Long Toan Bach | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| 1407957665 | Ahmed W Husari | Internal Medicine | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2006-09-26 |
| 1306943204 | Jeffrey R. Simons, Md, Inc. | Internal Medicine | 5887 Brockton Ave, Suite B, Riverside, CA 92506-1858 | 2006-09-20 |
| 1972540680 | E. Jane Carter | Internal Medicine | 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 | 2006-06-01 |
| 1245284447 | Alice E. Bonitati | Internal Medicine | 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 | 2006-05-20 |
| 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.