THAKER UROLOGICAL CENTER, INC. (NPI# 1396108940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396108940 |
| Entity Type | Organization |
| Organization Name | THAKER UROLOGICAL CENTER, INC. |
| Practice Address |
4500 Brockton Ave Suite 204 Riverside CA 92501-4090 |
| Practice Telephone | 9516837620 |
| Practice Fax Number | 9516833052 |
| Mailing Telephone | 9516837620 |
| Mailing Fax Number | 9516833052 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | DR. NIMISH THAKER (PRESIDENT) |
| Authorized Official Telephone | 9516837620 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A74757 | CA | Other Service Providers |
| Street Address |
4500 BROCKTON AVE SUITE 204 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770974 | Jan Paul Maddox | Pain Medicine | 4500 Brockton Ave, Ste 305, Riverside, CA 92501-4028 | 2005-06-14 |
| 1831656578 | Lucyana Magrietta Panjaitan | Nurse Practitioner | 4500 Brockton Ave, Riverside, CA 92501-4090 | 2019-02-28 |
| 1518401546 | Faculty Physicians and Surgeons of Llusm | Physician Assistant | 4500 Brockton Ave, Ste 201, Riverside, CA 92501-4090 | 2016-12-09 |
| 1063874337 | Mission Urology, Inc. | Internal Medicine | 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027 | 2016-03-24 |
| 1558759969 | Mid-valley Surgicenter Inc | Clinic/Center | 4500 Brockton Ave, Suite 105, Riverside, CA 92501-4090 | 2015-01-07 |
| 1306254669 | Jocelyn Cases | Nurse Practitioner | 4500 Brockton Ave, Suite 315, Riverside, CA 92501-4090 | 2014-07-30 |
| 1841530169 | Jennifer Lynn Gilden | Physician Assistant | 4500 Brockton Ave, Riverside, CA 92501-4090 | 2013-02-22 |
| 1275881609 | Sri Gorty M.d. Inc | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-15 |
| 1780931709 | Munther Alqaisi M.d. A Professional Medical Corporation | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-08 |
| 1508113523 | A.m. Nisar Syed A Professional Medical Corporation | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-08 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1295275808 | Eastern Comprehensive Medical Services | Specialist | 106 Sheephill Rd, Riverside, CT 06878-1120 | 2017-03-01 |
| 1245778331 | Lynn Nevatt | Specialist | 3833 Jurupa Ave, Riverside, CA 92506-2221 | 2017-02-08 |
| 1093264145 | Nephrology Associates Medical Group, Inc. | Specialist | 3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071 | 2016-09-30 |
| 1639625247 | Dana Keim | Specialist | 6864 Indiana Ave Ste 104a, Riverside, CA 92506 | 2016-09-01 |
| 1720401615 | Matthew Martinez | Specialist | 8205 Coleman St, Riverside, CA 92504-3107 | 2014-01-28 |
| 1649512575 | Michael C Luciano | Specialist | 3120 Chicago Ave, Suite #170, Riverside, CA 92507-3490 | 2013-03-18 |
| 1508110461 | Luis Angel Calvillo Jr. | Specialist | 246 Plews Ct, Riverside, CA 92507-1100 | 2012-10-30 |
| 1639474513 | Jeanne Dunkel | Specialist | 3529 Hoover St, Riverside, CA 92504-3907 | 2011-01-24 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on THAKER UROLOGICAL CENTER, 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.