MOLINA MEDICAL CENTERS


Address: 4354 Latham St, #100, Riverside, CA 92501-1777
Phone: 9517871101

MOLINA MEDICAL CENTERS (NPI# 1588779805) 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) 1588779805
Entity Type Organization
Organization Name MOLINA MEDICAL CENTERS
Practice Address 4354 Latham St
#100
Riverside
CA 92501-1777
Mailing Address 200 Oceangate
#100
Long Beach
CA 90802-4317
Practice Telephone 9517871101
Practice Fax Number 9517870719
Mailing Telephone 5624996191
Mailing Fax Number 5624996171
Enumeration Date 2006-08-19
Last Update Date 2008-05-21
Authorized Official Name MR. EDWARD KIM (PRESIDENT)
Authorized Official Telephone 5624996191
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR004265C 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083729206 Molina Medical Centers Family Medicine 3 Court St, Woodland, CA 95695-3111 2006-08-20
1548375777 Molina Medical Centers Family Medicine 2370 Fruitridge Rd, Sacramento, CA 95822-3148 2006-08-20
1114032448 Molina Medical Centers Family Medicine 1001 E Cooley Dr Ste 106, Colton, CA 92324-3941 2006-08-19

Office Location

Street Address 4354 LATHAM ST
#100
City RIVERSIDE
State CA
Zip Code 92501-1777

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164427001 Bryant C. Leung IIi Physical Medicine & Rehabilitation 4354 Latham St, Ste 100, Riverside, CA 92501-1777 2005-06-16
1770139859 Elizabeth M Leung Physician Assistant 4354 Latham St, Riverside, CA 92501-1777 2019-08-14
1134301716 Frank J Perez Chiropractor 4354 Latham St, Suite 100, Riverside, CA 92501-1777 2007-12-05

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
Find all providers in zip 92501

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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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