COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY (NPI# 1679564066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679564066 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY |
| Practice Address |
505 S Buena Vista Ave Corona CA 92882-1901 |
| Mailing Address |
Po Box 7849 Riverside CA 92513-7849 |
| Practice Telephone | 9512725445 |
| Practice Fax Number | 9512725489 |
| Mailing Telephone | 9513585222 |
| Mailing Fax Number | 9513585235 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL TWEEDELL (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9513585222 |
| Authorized Official Credential | M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | A51050 | CA | Allopathic & Osteopathic Physicians |
| X | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BC3402942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952496010 | County of Riverside-community Health Agency | Clinical Medical Laboratory | 4065 County Circle Dr, Riverside, CA 92503-3410 | 2006-10-04 |
| 1316928492 | County of Riverside-community Health Agency | Family Medicine | 47923 Oasis St, Indio, CA 92201-6950 | 2005-11-07 |
| 1962493288 | County of Riverside-community Health Agency | Pediatrics | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2005-11-04 |
| 1790776029 | County of Riverside-community Health Agency | Internal Medicine | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2005-11-04 |
| 1598756926 | County of Riverside-community Health Agency | Nurse Practitioner | 237 N D St, Perris, CA 92570-1919 | 2005-11-03 |
| 1770574154 | County of Riverside-community Health Agency | Internal Medicine | 3055 W Ramsey St, Banning, CA 92220-3781 | 2005-11-03 |
| 1366659054 | County of Riverside-community Health Agency | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2007-05-16 |
| 1417975269 | County of Riverside-community Health Agency | Family Medicine | 47923 Oasis St, Indio, CA 92201-6950 | 2006-07-18 |
| 1952329708 | County of Riverside-community Health Agency | Physician Assistant | 880 N State St, Hemet, CA 92543-1459 | 2006-07-18 |
| 1346268190 | County of Riverside-community Health Agency | Family Medicine | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2006-07-18 |
| Street Address |
505 S BUENA VISTA AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92882-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437641289 | Alonia Boucard | Case Manager/Care Coordinator | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 2018-06-06 |
| 1770006397 | Misty Wright | Registered Nurse | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 2017-07-25 |
| 1376820076 | Wendy Carolina Rosensweig | Family Medicine | 505 S Buena Vista Ave, Suite 101, Corona, CA 92882-1901 | 2011-11-08 |
| 1164603106 | Betty R. Garcia | Registered Nurse | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 2007-11-19 |
| 1164435723 | Tommie Lou L Evans | Nurse Practitioner | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 2006-08-14 |
| 1316965163 | County of Riverside- Community Health Agency | Family Medicine | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 2006-07-18 |
| 1912988767 | County of Riverside-community Health Agency | Nurse Practitioner | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| 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 |
|---|---|---|---|---|
| 1851931364 | Infinity Medical Care, Inc. | Family Medicine | 1820 Fullerton Ave Ste No260, Corona, CA 92881-3160 | 2020-01-13 |
| 1649708397 | Greta Eugenia Rios-steed | Family Medicine | 495 E Rincon St Ste 215, Corona, CA 92879-1378 | 2017-05-25 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1659786192 | Merlin Ann Sunny | Family Medicine | 341 Magnolia Ave Ste 201, Corona, CA 92879-3332 | 2014-06-24 |
| 1396164869 | Mi Tu Quan | Family Medicine | 5828 99th St, Corona, NY 11368 | 2014-04-14 |
| 1801232384 | Farhan Saeed Khan | Family Medicine | 2871 New Castle Way, Corona, CA 92879-6164 | 2013-05-11 |
| 1295093953 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 1690 W 6th St, Suite K, Corona, CA 92882-2910 | 2012-05-01 |
| 1982983458 | Optimum Wellness and Longevity Inc | Family Medicine | 1315 Corona Pointe Ct, Suite 101, Corona, CA 92879-1764 | 2011-08-15 |
| 1326333089 | Cogent Healthcare of California | Family Medicine | 2275 Sampson Ave, Corona, CA 92879-3400 | 2011-06-10 |
| 1316248842 | Harishkumar Ganeshbhai Patel | Family Medicine | 1312 Alee Cir, Corona, CA 92882-7343 | 2010-11-15 |
| Find all providers in CORONA | ||||
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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.