RIVERSIDE FAMILY PHYSICIANS


Address: 3975 Jackson St, 301, Riverside, CA 92503-3901
Phone: 9517816335

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site A16016 CA Suppliers

Other Provider/Organization Names

Other Name Type Code
Riverside Family Physicians - Parkview Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3975 JACKSON ST
301
City RIVERSIDE
State CA
Zip Code 92503-3901

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City RIVERSIDE
Zip Code 92503

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Dataset Information

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.

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