JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA (NPI# 1184001661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184001661 |
| Entity Type | Organization |
| Organization Name | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA |
| Other Organization Name | MOLINA NORTH RIVERSIDE |
| Practice Address |
5549 Van Buren Blvd Riverside CA 92503-2068 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9513245901 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 83322 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Molina North Riverside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265836738 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1627 E Anaheim St, Long Beach, CA 90813-3809 | 2014-10-13 |
| 1336527597 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2015-05-08 |
| 1154709301 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 7777 Sunrise Blvd, Suite 2500, Citrus Heights, CA 95610-2300 | 2015-05-08 |
| 1699153858 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 6339 Mack Rd, Sacramento, CA 95823-4655 | 2015-05-08 |
| 1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
| 1720465206 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 190 E Highland Ave, San Bernardino, CA 92404-3658 | 2015-05-04 |
| 1538546015 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1181 N Mount Vernon Ave, Colton, CA 92324-2574 | 2015-05-04 |
| 1134506769 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 14544 7th St, Victorville, CA 92395-4214 | 2015-05-04 |
| 1164809794 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 24853 Alessandro Blvd, Suite 4, Moreno Valley, CA 92553-6102 | 2015-05-04 |
| 1124405758 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 790 E Foothill Blvd, Rialto, CA 92376-5269 | 2015-05-04 |
| Street Address |
5549 VAN BUREN BLVD |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689778755 | Kathleen Frances Comer | Nurse Practitioner | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2006-09-11 |
| 1043777089 | Unicare Community Health Center Inc | Clinic/Center | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2019-02-26 |
| 1871022673 | Jessy Tsang | Family Medicine | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2017-06-06 |
| 1003350950 | Christine Pham Duong | Nurse Practitioner | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2016-12-12 |
| 1679024731 | Jossette Portillo Dutton | Nurse Practitioner | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2016-10-24 |
| 1750663191 | Molina Healthcare of California | Pediatrics | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2011-09-12 |
| 1730229162 | Mindy Lee Richard | Counselor | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2007-02-07 |
| 1518042167 | Tedmund Glen Po | Family Medicine | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525775 | Champion Medical Group, A Medical Corporation | Non-Pharmacy Dispensing Site | 3211 Van Buren Blvd Ste B, Riverside, CA 92503-5640 | 2011-01-12 |
| 1326443201 | Neighborhood Health Systems | Non-Pharmacy Dispensing Site | 3660 Park Sierra Dr, Suite 110, Riverside, CA 92505-3081 | 2014-11-04 |
| 1518371624 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 3404 Arlington Ave, Riverside, CA 92506-3253 | 2014-06-17 |
| 1053725218 | One Stop Multi-specialty Medical Group & Therapy, Inc. | Non-Pharmacy Dispensing Site | 5870 Arlington Ave, Suite 101, Riverside, CA 92504-2037 | 2014-06-16 |
| 1881008217 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 6927 Brockton Ave, Suite 1a, Riverside, CA 92506-3805 | 2014-06-13 |
| 1679848022 | Stuart L Zubrick Marriage Family and Child Counseling, A Prof Corp | Non-Pharmacy Dispensing Site | 9041 Magnolia Ave, Ste 201, Riverside, CA 92503-3900 | 2012-03-19 |
| 1255649653 | Riverside Family Physicians | Non-Pharmacy Dispensing Site | 4310 Orange St, Riverside, CA 92501-3829 | 2010-09-20 |
| 1407163942 | Riverside Family Physicians | Non-Pharmacy Dispensing Site | 3975 Jackson St, 301, Riverside, CA 92503-3901 | 2010-09-03 |
| 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 |
| 1942442157 | Mark D, Allison, Md, A Professional Company | Non-Pharmacy Dispensing Site | 4100 Central Ave, 106, Riverside, CA 92506-2933 | 2009-04-02 |
| 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.