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).
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 |
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 Name | Type Code |
---|---|
Good Shepherd Healthcare LLC | Former Legal Business Name - Organization |
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 |
Street Address |
9395 MAGNOLIA AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92503-3747 |
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 |
Find all providers in zip 92503 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.