SPECTRUM CLINICAL RESEARCH INSTITUTE INC (NPI# 1326315573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326315573 |
| Entity Type | Organization |
| Organization Name | SPECTRUM CLINICAL RESEARCH INSTITUTE INC |
| Practice Address |
12810 Heacock St Suite B210 Moreno Valley CA 92553-2854 |
| Practice Telephone | 9516012363 |
| Mailing Telephone | 9516012363 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | GEORGE A PONCE (OWNER) |
| Authorized Official Telephone | 9516012363 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
A51194 | CA | Other Service Providers |
| Street Address |
12810 HEACOCK ST SUITE B210 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295765428 | Cardiovascular Consultants of The Inland Valley | Internal Medicine | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-04 |
| 1629415120 | Armando Franco Md Inc | Family Medicine | 12810 Heacock St, Suite B206, Moreno Valley, CA 92553-3170 | 2013-05-24 |
| 1619003944 | Clinton King Wong | Optometrist | 12810 Heacock St, Suite B104, Moreno Valley, CA 92553-2854 | 2007-02-23 |
| 1073662235 | Robert Thomas Silvola | Dentist | 12810 Heacock St, Ste B103, Moreno Valley, CA 92553-3171 | 2007-01-09 |
| 1548326028 | Robert Ray Witty | Physician Assistant | 12810 Heacock St, Suite B-206, Moreno Valley, CA 92553-2854 | 2006-12-28 |
| 1215096409 | Armando L. Franco | Family Medicine | 12810 Heacock St, Suite B-206, Moreno Valley, CA 92553-2854 | 2006-12-06 |
| 1326073263 | Anna Maria Wilson | Nurse Practitioner | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-11 |
| 1174554935 | George A Ponce Sr. | Internal Medicine | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701640 | Andrew Somers | Specialist | 6711 Yucca St, Hollywood, CA 90028-4609 | 2020-05-13 |
| 1023676632 | Ajit P Varki | Specialist | 9500 Gilman Dr # Mc0687, La Jolla, CA 92093-0687 | 2019-05-30 |
| 1679045041 | Mahsa Parviz | Specialist | 4869 W Sunset Blvd., Los Angeles, CA 90027-5969 | 2018-12-26 |
| 1134648397 | Jamie Dananberg | Specialist | 3280 Bayshore Blvd Ste 100, Brisbane, CA 94005-1029 | 2017-09-19 |
| 1205372315 | Naama Barnea-goraly | Specialist | 723 Partridge Ave, Menlo Park, CA 94025-5213 | 2017-01-12 |
| 1205387420 | Albert Lee | Specialist | 16638 Nicklaus Dr Unit 97, Sylmar, CA 91342-1693 | 2016-10-24 |
| 1912457425 | John J Speidel | Specialist | 631 Portofino Ln, Foster City, CA 94404-2937 | 2016-10-07 |
| 1073987087 | Kenneth Krantz | Specialist | 204 E 2nd Ave, Suite 519, San Mateo, CA 94401-3963 | 2015-11-15 |
| 1194199109 | Physicians Clinical Research, LLC | Specialist | 2240 Pacific Ave Ste A, Long Beach, CA 90806-4372 | 2015-11-15 |
| 1326445065 | William Lang | Specialist | 101 Cornelia Ave, Mill Valley, CA 94941-1807 | 2014-11-24 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on SPECTRUM CLINICAL RESEARCH INSTITUTE INC.
| 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.