SAMER S SANNOUFI (NPI# 1528023264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528023264 |
| Entity Type | Individual |
| Full Name | SAMER S SANNOUFI |
| Credential | MD |
| Practice Address |
6900 Brockton Ave Ste 200 Riverside CA 92506 |
| Mailing Address |
6900 Brockton Ave Ste 200 Riverside CA 92506-3818 |
| Practice Telephone | 9516826263 |
| Practice Fax Number | 9516820114 |
| Mailing Telephone | 9516826263 |
| Mailing Fax Number | 9516820114 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD33024 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL BOARD | C53604 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 W Guadalupe Rd, Ste 311, Gilbert, AZ 85233 | 4805587078 | 4805587081 |
| Street Address |
6900 BROCKTON AVE STE 200 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235236 | Katherine Victoria Herzog | Nurse Practitioner | 6900 Brockton Ave Ste 200, Riverside, CA 92506-3818 | 2020-08-12 |
| 1851830699 | Primary Care Family Practice Apc | Clinic/Center | 6900 Brockton Ave Ste 200, Riverside, CA 92506-3818 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309689 | Lumina Family Care, Inc. | Family Medicine | 6780 Indiana Ave Ste 110, Riverside, CA 92506-4284 | 2017-07-21 |
| 1730613019 | Iman Fobia | Family Medicine | 1971 University Avenue, Riverside, CA 92507 | 2017-04-13 |
| 1992189286 | Inpatient Consultants of California, Inc | Family Medicine | 7177 Brockton Ave Ste 217, Riverside, CA 92506-2633 | 2015-07-16 |
| 1376920116 | Koohzad Karimi | Family Medicine | 445 Magnolia Avenue, Riverside, CA 92501 | 2015-04-30 |
| 1528474103 | Ivy Cao | Family Medicine | 1971 University Ave, Family Medicine Department, Riverside, CA 92507 | 2014-07-03 |
| 1417372533 | John Mcdevitt | Family Medicine | 3550 Lillian St, Riverside, CA 92504-3609 | 2014-02-26 |
| 1972861797 | Central Occupational Medicine Providers Ontario Inc | Family Medicine | 4300 Central Ave, Riverside, CA 92506-2918 | 2012-04-30 |
| 1619241767 | Inpatient Consultants of California, Inc | Family Medicine | 3610 Central Ave Ste 205, Riverside, CA 92506-5905 | 2012-03-06 |
| 1437438033 | George Samir Nagib | Family Medicine | 7140 Indiana Ave., Riverside, CA 92504-3927 | 2011-08-12 |
| 1902193170 | Metate Medical, Inc. | Family Medicine | 3538 Central Ave, Suite 110, Riverside, CA 92506-2731 | 2011-07-07 |
| 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.