RIVERSIDE FAMILY PHYSICIANS (NPI# 1407163942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407163942 |
Entity Type | Organization |
Organization Name | RIVERSIDE FAMILY PHYSICIANS |
Other Organization Name | RIVERSIDE FAMILY PHYSICIANS - PARKVIEW |
Practice Address |
3975 Jackson St 301 Riverside CA 92503-3901 |
Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
Practice Telephone | 9517816335 |
Enumeration Date | 2010-09-03 |
Last Update Date | 2012-10-23 |
Authorized Official Name | KENNY HEINE (SR. DIRECTOR OPERATIONS) |
Authorized Official Telephone | 8586252990 |
Is Organization Subpart | Y |
Parent Organization Name | MEDVANTX, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | A16016 | CA | Suppliers |
Other Name | Type Code |
---|---|
Riverside Family Physicians - Parkview | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255649653 | Riverside Family Physicians | Non-Pharmacy Dispensing Site | 4310 Orange St, Riverside, CA 92501-3829 | 2010-09-20 |
1154491108 | Riverside Family Physicians | Clinic/Center | 606 24th Ave S, Suite 813, Minneapolis, MN 55454-1455 | 2006-11-08 |
Street Address |
3975 JACKSON ST 301 |
City | RIVERSIDE |
State | CA |
Zip Code | 92503-3901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912905191 | Magnolia Women's Center | Obstetrics & Gynecology | 3975 Jackson St, Ste 110, Riverside, CA 92503-3901 | 2005-07-12 |
1306466180 | Priya Patel | Registered Nurse | 3975 Jackson St, Riverside, CA 92503-3901 | 2020-04-21 |
1164960597 | Healing Tree Wellness Center Inc | Acupuncturist | 3975 Jackson St, Suite 2069, Riverside, CA 92503-3901 | 2017-02-06 |
1619423233 | Akila Arous | Physician Assistant | 3975 Jackson St, Riverside, CA 92503-3901 | 2016-09-01 |
1417399510 | Junmi Yi | Acupuncturist | 3975 Jackson St, Suite 209, Riverside, CA 92503-3901 | 2013-07-18 |
1174963177 | Manju Kaur | Nurse Practitioner | 3975 Jackson St, Riverside, CA 92503-3901 | 2013-07-05 |
1427496603 | Bongkyu Nam | Acupuncturist | 3975 Jackson St, Suite 209, Riverside, CA 92503-3901 | 2013-06-10 |
1427318781 | Sudha Moola Md Inc | Clinic/Center | 3975 Jackson St, 208, Riverside, CA 92503-3901 | 2012-05-21 |
1376842864 | Tiffany H. Aman | Pediatrics | 3975 Jackson St, Ste 207, Riverside, CA 92503-3901 | 2011-03-23 |
1346556107 | Mi Care Inc | Family Medicine | 3975 Jackson St, #206, Riverside, CA 92503-3901 | 2010-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
Find all providers in zip 92503 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144525775 | Champion Medical Group, A Medical Corporation | Non-Pharmacy Dispensing Site | 3211 Van Buren Blvd Ste B, Riverside, CA 92503-5640 | 2011-01-12 |
1184001661 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2015-05-04 |
1326443201 | Neighborhood Health Systems | Non-Pharmacy Dispensing Site | 3660 Park Sierra Dr, Suite 110, Riverside, CA 92505-3081 | 2014-11-04 |
1518371624 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 3404 Arlington Ave, Riverside, CA 92506-3253 | 2014-06-17 |
1053725218 | One Stop Multi-specialty Medical Group & Therapy, Inc. | Non-Pharmacy Dispensing Site | 5870 Arlington Ave, Suite 101, Riverside, CA 92504-2037 | 2014-06-16 |
1881008217 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 6927 Brockton Ave, Suite 1a, Riverside, CA 92506-3805 | 2014-06-13 |
1679848022 | Stuart L Zubrick Marriage Family and Child Counseling, A Prof Corp | Non-Pharmacy Dispensing Site | 9041 Magnolia Ave, Ste 201, Riverside, CA 92503-3900 | 2012-03-19 |
1255649653 | Riverside Family Physicians | Non-Pharmacy Dispensing Site | 4310 Orange St, Riverside, CA 92501-3829 | 2010-09-20 |
1215243290 | Center for Better Health, A Medical Group, Inc. | Non-Pharmacy Dispensing Site | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2010-08-27 |
1942442157 | Mark D, Allison, Md, A Professional Company | Non-Pharmacy Dispensing Site | 4100 Central Ave, 106, Riverside, CA 92506-2933 | 2009-04-02 |
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.