JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA


Address: 1181 N Mount Vernon Ave, Colton, CA 92324-2574
Phone: 9094982356

JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA (NPI# 1538546015) 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) 1538546015
Entity Type Organization
Organization Name JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Other Organization Name MOLINA COLTON
Practice Address 1181 N Mount Vernon Ave
Colton
CA 92324-2574
Mailing Address 9276 Scranton Rd
Suite 100
San Diego
CA 92121-7701
Practice Telephone 9094982356
Enumeration Date 2015-05-04
Last Update Date 2016-06-02
Authorized Official Name KENNY HEINE (VP OF OPERATIONS)
Authorized Official Telephone 8589641506
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 11606 CA Suppliers

Other Provider/Organization Names

Other Name Type Code
Molina Colton Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265836738 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 1627 E Anaheim St, Long Beach, CA 90813-3809 2014-10-13
1336527597 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 3234 Marysville Blvd, Sacramento, CA 95815-1411 2015-05-08
1154709301 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 7777 Sunrise Blvd, Suite 2500, Citrus Heights, CA 95610-2300 2015-05-08
1699153858 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 6339 Mack Rd, Sacramento, CA 95823-4655 2015-05-08
1881072049 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 3946 Norwood Ave, Sacramento, CA 95838-3300 2015-05-08
1720465206 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 190 E Highland Ave, San Bernardino, CA 92404-3658 2015-05-04
1134506769 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 14544 7th St, Victorville, CA 92395-4214 2015-05-04
1184001661 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 5549 Van Buren Blvd, Riverside, CA 92503-2068 2015-05-04
1164809794 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 24853 Alessandro Blvd, Suite 4, Moreno Valley, CA 92553-6102 2015-05-04
1124405758 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 790 E Foothill Blvd, Rialto, CA 92376-5269 2015-05-04

Office Location

Street Address 1181 N MOUNT VERNON AVE
City COLTON
State CA
Zip Code 92324-2574

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053340562 Esther Y Lo Nurse Practitioner 1181 N Mount Vernon Ave, Colton, CA 92324-2574 2006-06-30
1053878405 Southern California Emergency Medicine Clinic/Center 1181 N Mount Vernon Ave, Colton, CA 92324-2574 2019-02-21
1780937334 Joseph M Molina Md Professional Corporation - Southern California Pediatrics 1181 N Mount Vernon Ave, Colton, CA 92324-2574 2012-10-19
1396758942 Mariam S. Moghadam Family Medicine 1181 N Mount Vernon Ave, Colton, CA 92324-2574 2006-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134739949 Ava Vascular Radiology 1281 W. C. Street, Suite 200, Colton, CA 92324 2020-08-06
1063042851 Making A Difference Association, Inc. Psychologist 1430 E Cooley Drive, Ste 111, Colton, CA 92324 2020-01-21
1326685488 Allstar Medical Respite and Recuperative Care Case Management 450 N Sperry Drive, Colton, CA 92324 2019-12-06
1558916379 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 1010 North Pepper Ave, Colton, CA 92324 2019-08-08
1326692633 Kadi Lyn Pearce Licensed Practical Nurse 970 N. Latham St, Colton, CA 92324 2019-07-25
1184281966 Steven Andrew Cardoza Physician Assistant Armc, 400 N. Pepper Ave, Colton, CA 92324 2019-05-28
1528540952 Daniel Tochukwu Umah-mgborogwu Physician Assistant 400 N Pepper Ave, Ste 107, Coton, CA 92324 2018-09-01
1255826038 Cal Med Vascular Center LLC Clinic/Center 1281 W C St, Colton, CA 92324 2018-06-25
1891288072 A. Arroyo Lourenco Dds, Inc Dentist 827 W Valley Blvd., Colton, CA 92324 2018-06-12
1700396165 Emily Covington Registered Nurse 1550 E. Washington St., Ste 101, Colton, CA 92324 2017-10-11
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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
1396038105 Andrew W. Hesseltine M.d., Inc Non-Pharmacy Dispensing Site 1850 E Washington St, Colton, CA 92324-4621 2011-05-26
1831377662 Beaver Medical Group Lp Non-Pharmacy Dispensing Site 1300 E Cooley Dr, Colton, CA 92324-3905 2008-02-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982225496 Artius Dermatology Associates PC Non-Pharmacy Dispensing Site 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 2020-05-06
1285268391 Artius Dermatology Associates PC Non-Pharmacy Dispensing Site 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 2020-02-27
1790327732 Triumph Specialties LLC Non-Pharmacy Dispensing Site 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 2019-10-10
1487210365 Artius Dermatology Associates P.C. Non-Pharmacy Dispensing Site 325 Mall Dr Ste 111, Hanford, CA 93230-5950 2019-05-15
1376030080 Jane F Kardashian Md Inc Non-Pharmacy Dispensing Site 6769 N Fresno, Fresno, CA 93710 2018-04-18
1023511045 Performance Health Medical Group Non-Pharmacy Dispensing Site 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 2018-03-15
1043719206 Southern California Orthopedic Institute L.p Non-Pharmacy Dispensing Site 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 2018-02-02
1174032353 Golden Gate Urology, Inc. Non-Pharmacy Dispensing Site 139 Townsend St Ste 100, San Francisco, CA 94107-1946 2017-09-20
1215462080 Mas Management Group, Inc. Non-Pharmacy Dispensing Site 28446 Constellation Rd, Valencia, CA 91355-5081 2017-04-28
1730624719 St. John's Well Child and Family Center Inc Non-Pharmacy Dispensing Site 326 W 23rd St, Los Angeles, CA 90007-2612 2016-12-29
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Competitor

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City COLTON
Zip Code 92324

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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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