COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY (NPI# 1366659054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366659054 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY |
| Practice Address |
7140 Indiana Ave Riverside CA 92504-4544 |
| Mailing Address |
Po Box 7849 Riverside CA 92513-7849 |
| Practice Telephone | 9513586000 |
| Practice Fax Number | 9513586044 |
| Mailing Telephone | 9513585222 |
| Mailing Fax Number | 9513585235 |
| Enumeration Date | 2007-05-16 |
| 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 |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP16928 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1316928492 | County of Riverside-community Health Agency | Family Medicine | 47923 Oasis St, Indio, CA 92201-6950 | 2005-11-07 |
| 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 |
| 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 |
7140 INDIANA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892542 | Nancy Lynn Hosek | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2005-06-27 |
| 1376053413 | Catherine Nkechi Ajala-staats | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2017-10-03 |
| 1144760893 | Dan Jin Lau | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2017-02-28 |
| 1518318625 | Kyi Myint | Internal Medicine | 7140 Indiana Ave, Riverside, CA 92504 | 2016-06-29 |
| 1003261454 | Jacqueline S Ashley | Social Worker | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2016-05-03 |
| 1598155244 | Riverside Neighborhood Health Center | Clinic/Center | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2015-02-03 |
| 1528483708 | Vilayphone Kao Tran | Marriage & Family Therapist | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2014-02-25 |
| 1578882569 | Ashaunta Tumblin Anderson | Pediatrics | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2010-05-31 |
| 1962637215 | Katia Rosario Alfaro Felix | Family Medicine | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2009-05-15 |
| 1710124904 | Nominado Siazon Apostol Jr. | Pharmacist | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2009-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214074 | Aizzel Ramas Trieu | Nurse Practitioner | 3524 Jackfrost Ct, Riverside, CA 92503-4500 | 2020-01-13 |
| 1518504059 | Ragi Sadek | Nurse Practitioner | 12378 Jacaranda Way, Riverside, CA 92503-7048 | 2019-12-03 |
| 1710522255 | Patricia Denise Dupree | Nurse Practitioner | 14200 Meridian Pkwy # 101, Riverside, CA 92518-3044 | 2019-11-07 |
| 1750932141 | Huynh Ngoc Tu Nguyen | Nurse Practitioner | 9041 Magnolia Ave Ste 302, Riverside, CA 92503-3957 | 2019-09-26 |
| 1174030506 | Sible Rebello | Nurse Practitioner | 3660 Park Sierra Dr Ste 208, Riverside, CA 92505-3071 | 2018-01-08 |
| 1922519651 | Veronica Ann Pablo Miller | Nurse Practitioner | 8990 Garfield St Ste 8, Riverside, CA 92503-3922 | 2017-10-20 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| 1336463652 | Emily Angelica Agito Dela Rosa | Nurse Practitioner | 4361 Latham St Ste 270, Riverside, CA 92501-4332 | 2010-03-15 |
| 1497969562 | Candy Nordahl | Nurse Practitioner | 4440 Brockton Ave Ste 200, Riverside, CA 92501-4026 | 2007-05-09 |
| 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.