RIVERSIDE FAMILY PHYSICIANS (NPI# 1255649653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255649653 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE FAMILY PHYSICIANS |
| Other Organization Name | RIVERSIDE FAMILY PHYSICIANS - ORANGE |
| Practice Address |
4310 Orange St Riverside CA 92501-3829 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9517816335 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (SR. DIRECTOR OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| 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 | A53772 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Riverside Family Physicians - Orange | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407163942 | Riverside Family Physicians | Non-Pharmacy Dispensing Site | 3975 Jackson St, 301, Riverside, CA 92503-3901 | 2010-09-03 |
| 1154491108 | Riverside Family Physicians | Clinic/Center | 606 24th Ave S, Suite 813, Minneapolis, MN 55454-1455 | 2006-11-08 |
| Street Address |
4310 ORANGE ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790713394 | Riverside Family Physicians, A Professional Medical Corporation | Family Medicine | 4310 Orange St, Riverside, CA 92501-3829 | 2006-06-30 |
| 1134629629 | Megg U Sofeso | Registered Nurse | 4310 Orange St, Riverside, CA 92501-3829 | 2018-02-20 |
| 1811310287 | Sabrina Yap Garrovillas | Registered Nurse | 4310 Orange St, Riverside, CA 92501-3829 | 2014-01-21 |
| 1013353549 | Cielito Blanco Capistrano | Nurse Practitioner | 4310 Orange St, Riverside, CA 92501-3829 | 2013-05-10 |
| 1164791265 | Stela Georgieva Kostova-abadjieva | Internal Medicine | 4310 Orange St, Riverside, CA 92501-3829 | 2011-12-19 |
| 1740576388 | Farah Almudhafar | Family Medicine | 4310 Orange St, Riverside, CA 92501-3829 | 2011-06-22 |
| 1619136561 | George T. Ricks | Family Medicine | 4310 Orange St, Riverside, CA 92501-3829 | 2008-06-05 |
| 1134304447 | Palliative Partners, Inc | General Practice | 4310 Orange St, Riverside, CA 92501-3829 | 2008-01-04 |
| 1265569743 | Clarisa Yos | Nurse Practitioner | 4310 Orange St, Riverside, CA 92501-3829 | 2007-02-28 |
| 1932139615 | Maryam Samadi-soltani | Pediatrics | 4310 Orange St, Riverside, CA 92501-3829 | 2006-07-05 |
| 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 | 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 |
| 1184001661 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2015-05-04 |
| 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 |
| 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.