UCR WOMAN'S HEALTH


Address: 19330 Jesse Ln, Suite 100, Riverside, CA 92508-5091
Phone: 9519277961

UCR WOMAN'S HEALTH (NPI# 1285092874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285092874
Entity Type Organization
Organization Name UCR WOMAN'S HEALTH
Practice Address 19330 Jesse Ln
Suite 100
Riverside
CA 92508-5091
Mailing Address Po Box 31001-2130
Pasadena
CA 91110-2130
Practice Telephone 9519277961
Practice Fax Number 9512637237
Mailing Telephone 2134121973
Mailing Fax Number 2134121981
Enumeration Date 2016-02-10
Last Update Date 2016-02-10
Authorized Official Name DR. MANUEL PORTO (PRESIDENT & CEO)
Authorized Official Telephone 7144562986
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name REGENTS OF THE UNIVERSITY OF CALIFORNIA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 19330 JESSE LN
SUITE 100
City RIVERSIDE
State CA
Zip Code 92508-5091

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1952605248 Dennis Graves Counselor 17270 Roosevelt Ave, Riverside, CA 92508 2011-01-01
1811207632 Bekele T Haimanot Physician Assistant 9528 Los Coches Court, Riverside, CA 92508 2010-10-14
1518144625 Irene T. Zaki Dentist 20873 Grove Community Dr., Riverside, CA 92508 2008-01-31
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1659744175 Ucr Health- Plastic & Reconstructive Surgery Clinic/Center 10694 Magnolia Ave, Riverside, CA 92505-1816 2015-11-05
1841534302 Hubert C. Watkins, M.d., Inc. Clinic/Center 6926 Brockton Ave, Suite 10, Riverside, CA 92506-3800 2012-11-21
1285992198 Central Medical Group Clinic/Center 4100 Central Ave, Riverside, CA 92506-2933 2012-04-27
1639363344 Brian P Igoe Md,sc Clinic/Center 347 E Burlington St, Riverside, IL 60546-2149 2007-09-05
1992850150 Helena Mba Md Inc. Clinic/Center 6485 Day St, Suite #203, Riverside, CA 92507-0929 2007-01-25

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Competitor

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City RIVERSIDE
Zip Code 92508

Improve Information

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Dataset Information

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.

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