GOOD SHEPHERD HEALTHCARE LLC


Address: 9395 Magnolia Ave, Riverside, CA 92503-3747
Phone: 7148018878

GOOD SHEPHERD HEALTHCARE LLC (NPI# 1609348036) 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) 1609348036
Entity Type Organization
Organization Name GOOD SHEPHERD HEALTHCARE LLC
Other Organization Name GOOD SHEPHERD HEALTHCARE LLC
Practice Address 9395 Magnolia Ave
Riverside
CA 92503-3747
Mailing Address 11199 Tesota Loop St
Corona
CA 92883-3059
Practice Telephone 7148018878
Mailing Telephone 7148018878
Enumeration Date 2018-12-24
Last Update Date 2020-01-20
Authorized Official Name DR. MICHAEL EMEEL MOUSA (FOUNDER/OWNER)
Authorized Official Telephone 7148018878
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
N 2085R0203X Radiology
Specialization: Therapeutic Radiology
Allopathic & Osteopathic Physicians
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
N 261QR0206X Clinic/Center
Specialization: Radiology, Mammography
Ambulatory Health Care Facilities
N 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Good Shepherd Healthcare LLC Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841365723 Good Shepherd Healthcare LLC Social Worker 2451 South Buffalo Drive Suite 100, Las Vegas, NV 89117-2749 2006-11-23
1750908273 Good Shepherd Healthcare LLC Home Health 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 2020-06-30
1952928475 Good Shepherd Healthcare LLC Hospice Care, Community Based 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 2020-06-30

Office Location

Street Address 9395 MAGNOLIA AVE
City RIVERSIDE
State CA
Zip Code 92503-3747

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 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437154697 Renaissance Radiology Medical Group, Inc. Radiology 9041 Magnolia Ave, Ste 101, Riverside, CA 92503-3900 2005-06-15
1417315300 California Neurointerventional Surgeons, Inc Radiology 4445 Magnolia Ave, Riverside, CA 92501-4135 2016-02-05
1114223518 Pouyan Golshani Radiology 10800 Magnolia Ave, Riverside, CA 92505-3043 2011-02-01
1790911964 Riverside Radiology Medical Group, Inc. Radiology 4440 Brockton Ave, Suite 100, Riverside, CA 92501-4068 2009-06-02
1568638807 Youhanna Gad Radiology 4445 Magnolia Ave, Riverside, CA 92501-4135 2008-05-06
1679770994 Charles Emmet Stout Jr. Radiology 4445 Magnolia Ave, Riverside, CA 92501-4135 2007-06-29
1861540676 Chan Nam Chang Radiology 10800 Magnolia Ave, Riverside, CA 92505-3043 2007-01-08
1396805560 Danh V. Le Radiology 10800 Magnolia Ave, Riverside, CA 92505-3043 2006-12-11
1023092541 Renaissance Radiology Medical Group, Inc. Radiology 3865 Jackson St, Riverside, CA 92503-3919 2005-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134739949 Ava Vascular Radiology 1281 W. C. Street, Suite 200, Colton, CA 92324 2020-08-06
1306467204 Saleh Radiology of Inland Empire Radiology 15276 Ledgestone St, Fontana, CA 92336-4048 2020-05-01
1366084535 Luo Xu Radiology 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 2019-10-09
1346717824 Cvs Medical Group, Inc Radiology 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 2018-11-01
1407353675 Art Vascular & Interventional Associates Inc Radiology 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 2018-04-12
1568971869 Broad Reach Specialty Surgery Inc Radiology 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 2017-09-29
1407393754 Valley Vascular Partners Inc Radiology 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 2017-01-25
1124497342 Neurointerventional Surgery Consultants, PC Radiology 534 S Brea Blvd, Brea, CA 92821-5304 2015-09-17
1578946026 Clarity Radiology, LLC Radiology 39 Via Navarro, Greenbrae, CA 94904-1215 2015-07-01
1669863981 Pedes Vascular San Fernando Valley Radiology 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 2015-02-09
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Competitor

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City RIVERSIDE
Zip Code 92503

Improve Information

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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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