ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC. (NPI# 1164915716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164915716 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC. |
| Practice Address |
4354 Latham St Ste 100 Riverside CA 92501-1777 |
| Mailing Address |
6800 Brockton Ave Riverside CA 92506-3835 |
| Practice Telephone | 9516830650 |
| Practice Fax Number | 9517744610 |
| Mailing Telephone | 9516830650 |
| Mailing Fax Number | 9517744610 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | SANDRA CHRISTINE MEISSNER (CREDENTIALING) |
| Authorized Official Telephone | 9516830650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013576180 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 1800 Western Ave Ste 106, San Bernardino, CA 92411-1352 | 2019-06-11 |
| 1144491895 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 6800 Brockton Ave, 2, Riverside, CA 92506-3810 | 2008-03-20 |
| 1215107354 | Orthopaedic Medical Group of Riverside, Inc. | Psychologist | 6850 Brockton Ave, Suite 212, Riverside, CA 92506-3808 | 2008-03-05 |
| 1316051261 | Orthopaedic Medical Group of Riverside, Inc. | Physical Medicine & Rehabilitation | 399 E Highland Ave, Suite 409, San Bernardino, CA 92404-3808 | 2006-08-18 |
| 1598878449 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 6485 Day St, Suite 301, Riverside, CA 92507-0929 | 2006-08-16 |
| 1083626048 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2006-08-11 |
| 1124050620 | Orthopaedic Medical Group of Riverside, Inc. | Psychologist | 6860 Brockton Ave, Suite 7, Riverside, CA 92506-3816 | 2006-07-07 |
| 1568494078 | Orthopaedic Medical Group of Riverside, Inc. | Clinic/Center | 399 E Highland Ave, Suite 409, San Bernardino, CA 92404-3808 | 2006-07-07 |
| 1215965645 | Orthopaedic Medical Group of Riverside, Inc. | Clinic/Center | 6485 Day St, Suite 303, Riverside, CA 92507-0929 | 2006-06-28 |
| 1477512671 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 6800 Brockton Ave, Riverside, CA 92506-3810 | 2006-03-17 |
| Street Address |
4354 LATHAM ST STE 100 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518353 | Neil J. Halbridge | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-14 |
| 1215243290 | Center for Better Health, A Medical Group, Inc. | Non-Pharmacy Dispensing Site | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2010-08-27 |
| 1073829685 | Christina Pantazopoulos | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2010-08-20 |
| 1902038326 | Southland Spine & Rehabilitation Med Ctr | Internal Medicine | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2009-08-18 |
| 1093711749 | Abraham A Argun | Psychologist | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-27 |
| 1114923968 | Stephen P Suzuki | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-27 |
| 1285639922 | Gurvinder Sunny Uppal | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-17 |
| 1649275579 | John B Gonzalez | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-16 |
| 1801891734 | Donald D Kim | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-16 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1609018464 | Brian Yost Do, Inc | Orthopaedic Surgery | 4510 Brockton Ave Ste 375, Riverside, CA 92501-4020 | 2009-03-25 |
| 1205095643 | Orthopaedic Surgery Medical Group | Orthopaedic Surgery | 4156 10th St, Riverside, CA 92501-3181 | 2008-06-02 |
| 1275737280 | John Anthony Kuri II | Orthopaedic Surgery | 4510 Brockton Ave, Suite 175, Riverside, CA 92501-4015 | 2007-06-13 |
| 1861436602 | Christopher H Fleming | Orthopaedic Surgery | 4444 Magnolia Avenue, Riverside, CA 92501-4136 | 2006-06-15 |
| 1164407391 | Thomas Mark Hartley | Orthopaedic Surgery | 4444 Magnolia Ave, Riverside, CA 92501 | 2005-12-09 |
| 1013913573 | Michael J Hejna | Orthopaedic Surgery | 353 E Burlington St, Ste 100, Riverside, IL 60546-2082 | 2005-06-21 |
| 1811992183 | Jack H Akmakjian | Orthopaedic Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3810 | 2005-06-14 |
| 1073518353 | Neil J. Halbridge | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2005-06-14 |
| 1801221056 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2013-09-06 |
| 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.