COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY (NPI# 1316928492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316928492 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY |
| Practice Address |
47923 Oasis St Indio CA 92201-6950 |
| Mailing Address |
Po Box 7849 Riverside CA 92513-7849 |
| Practice Telephone | 7608638283 |
| Practice Fax Number | 7608638366 |
| Mailing Telephone | 9513585222 |
| Mailing Fax Number | 9513585235 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL TWEEDELL (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9513585222 |
| Authorized Official Credential | M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | G63339 | CA | Allopathic & Osteopathic Physicians |
| X | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BM3553115 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952496010 | County of Riverside-community Health Agency | Clinical Medical Laboratory | 4065 County Circle Dr, Riverside, CA 92503-3410 | 2006-10-04 |
| 1962493288 | County of Riverside-community Health Agency | Pediatrics | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2005-11-04 |
| 1790776029 | County of Riverside-community Health Agency | Internal Medicine | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2005-11-04 |
| 1598756926 | County of Riverside-community Health Agency | Nurse Practitioner | 237 N D St, Perris, CA 92570-1919 | 2005-11-03 |
| 1770574154 | County of Riverside-community Health Agency | Internal Medicine | 3055 W Ramsey St, Banning, CA 92220-3781 | 2005-11-03 |
| 1679564066 | County of Riverside-community Health Agency | Family Medicine | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 2005-11-03 |
| 1366659054 | County of Riverside-community Health Agency | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2007-05-16 |
| 1417975269 | County of Riverside-community Health Agency | Family Medicine | 47923 Oasis St, Indio, CA 92201-6950 | 2006-07-18 |
| 1952329708 | County of Riverside-community Health Agency | Physician Assistant | 880 N State St, Hemet, CA 92543-1459 | 2006-07-18 |
| 1346268190 | County of Riverside-community Health Agency | Family Medicine | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2006-07-18 |
| Street Address |
47923 OASIS ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437714011 | Ana Ortiz | Counselor | 47923 Oasis St, Indio, CA 92201-9203 | 2019-05-08 |
| 1962855288 | Denisse Medina | Counselor | 47923 Oasis St, Indio, CA 92201-9203 | 2016-07-21 |
| 1013153378 | County of Riverside Public Health Nursing | Public Health or Welfare | 47923 Oasis St, Indio, CA 92201-9788 | 2008-12-16 |
| 1770760530 | Alvaro Licto | Dietitian, Registered | 47923 Oasis St, Indio, CA 92201-9788 | 2008-01-23 |
| 1497931885 | Debra Lynn Amick-suess | Dietitian, Registered | 47923 Oasis St, Indio, CA 92201-9788 | 2008-01-15 |
| 1932382322 | Yolanda Alvarez-reyes | Case Manager/Care Coordinator | 47923 Oasis St, Indio, CA 92201-9788 | 2007-12-10 |
| 1881875854 | Leticia Carreon | Case Manager/Care Coordinator | 47923 Oasis St, Indio, CA 92201-9788 | 2007-11-19 |
| 1821279985 | Marie Marcinko | Registered Nurse | 47923 Oasis St, Indio, CA 92201-9788 | 2007-11-16 |
| 1902087067 | Melody Leah Valdivia | Registered Nurse | 47923 Oasis St, Indio, CA 92201-9788 | 2007-11-16 |
| 1184729295 | Gisela Acevedo | Registered Nurse | 47923 Oasis St, Indio, CA 92201-9203 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194350736 | S Lin Medical Consultants Inc | Family Medicine | 49256 Escalante St, Indio, CA 92201-8850 | 2020-03-04 |
| 1477819829 | Salvador Cuellar Hernandez | Family Medicine | 82900 Avenue 42nd Suite G-101, Indio, CA 92203 | 2012-04-10 |
| 1659542405 | Laraine Joyce Smith Friend | Family Medicine | 46057 Oasis St, Indio, CA 92201-5906 | 2008-03-20 |
| 1386777175 | Julio C. Martinez, M.d. Medical Group, Inc | Family Medicine | 83233 Indio Blvd, Suite 14, Indio, CA 92201-4748 | 2007-03-13 |
| 1487787214 | Raquel Gomez Mora | Family Medicine | 81719 Doctor Carreon Blvd Ste B, Indio, CA 92201-5518 | 2007-03-13 |
| 1265545123 | James W Moffat | Family Medicine | 47-923 Oasis St, Indio, CA 92201-6950 | 2006-08-16 |
| 1457388787 | David Fringer | Family Medicine | 81709 Doctor Carreon Blvd, Suite C5, Indio, CA 92201-5509 | 2006-06-26 |
| 1922041235 | Christopher Snyder | Family Medicine | 81709 Doctor Carreon Blvd Ste C3, Indio, CA 92201-5577 | 2006-06-14 |
| 1336127844 | Jerome Edward Seeraty | Family Medicine | 40410 Corte Los Bancos, Indio, CA 92203-7457 | 2006-01-04 |
| 1225029804 | Ellen Meg Smith | Family Medicine | 81767 Dr Carreon Blvd Ste 201, Indio, CA 92201-5599 | 2005-11-02 |
| Find all providers in INDIO | ||||
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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.