TIMOTHY JOHN PIETRO


Address: 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027
Phone: 9512764505

TIMOTHY JOHN PIETRO (NPI# 1427186881) 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) 1427186881
Entity Type Individual
Full Name TIMOTHY JOHN PIETRO
Credential M.D.
Practice Address 4500 Brockton Ave
Suite 301
Riverside
CA 92501-4027
Mailing Address Po Box 7270
Moreno Valley
CA 92552-7270
Practice Telephone 9512764505
Practice Fax Number 9512764517
Mailing Telephone 9516561500
Mailing Fax Number 9516561510
Enumeration Date 2007-02-28
Last Update Date 2016-05-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology A43577 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4500 BROCKTON AVE
SUITE 301
City RIVERSIDE
State CA
Zip Code 92501-4027

Providers in the same location

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
1396108940 Thaker Urological Center, Inc. Specialist 4500 Brockton Ave, Suite 204, Riverside, CA 92501-4090 2016-03-31
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104152149 Brandon Garret Louie Urology 4244 Riverwalk Pkwy Ste 240, Riverside, CA 92505-3372 2009-10-27
1629243837 Ken Takesita Urology 4500 Brockton Ave Ste 301, Riverside, CA 92501-4027 2008-04-29
1912116989 Howard A Aubert Urology 7117 Brockton Ave Fl 2, Riverside, CA 92506-2658 2007-05-22
1093055170 Alpha Urology Group, Inc. Urology 4244 Riverwalk Pkwy, Suite 240, Riverside, CA 92505-8509 2013-02-26
1265751697 Anthony J Park Urology 10800 Magnolia Ave, Mob 2, 2nd Floor, Riverside, CA 92505-3043 2010-05-25
1215267307 Aravind Chandrashekar Urology 10800 Magnolia Ave, Riverside, CA 92505-3043 2010-01-12
1598910457 Urologic Specialists of New England, LLC Urology 250 Wampanoag Trl, Suite 203, Riverside, RI 02915-2218 2008-11-19
1235356999 Benjamin Kattle Yang Urology 7117 Brockton Ave., Riverside, CA 92506-3912 2007-04-20
1669597175 Gaurang S Shah Urology 10800 Magnolia Ave, Riverside, CA 92505-3043 2007-03-21
1619036290 Joseph I. Sardina Urology 10800 Magnolia Ave, Riverside, CA 92505-3043 2006-12-08
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92501

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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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