RIVERSIDE MEDICAL CLINIC INC (NPI# 1720183403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720183403 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE MEDICAL CLINIC INC |
| Practice Address |
7160 Brockton Ave Riverside CA 92506 |
| Mailing Address |
3660 Arlington Ave Riverside CA 92506 |
| Practice Telephone | 9517823714 |
| Practice Fax Number | 9517825135 |
| Mailing Telephone | 9516836370 |
| Mailing Fax Number | 9517825135 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MARY D ATWOOD (DIRECTOR BUSINESS SERVICES) |
| Authorized Official Telephone | 9517825136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | ========= | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | ========= | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950232 | Riverside Medical Clinic Inc | Internal Medicine | 4100 Central Ave Ste 201, Riverside, CA 92506-2930 | 2019-06-10 |
| 1407414329 | Riverside Medical Clinic Inc | Internal Medicine | 2079 Compton Ave Ste A101, Corona, CA 92881-7284 | 2019-06-05 |
| 1316080880 | Riverside Medical Clinic Inc | Obstetrics & Gynecology | 7150 Brockton Ave, Riverside, CA 92506-2614 | 2007-02-15 |
| 1780782557 | Riverside Medical Clinic Inc | Optometrist | 6405 Day Street, Riverside, CA 92506 | 2006-09-20 |
| 1508263088 | Riverside Medical Clinic Inc | Nurse Practitioner | 20886 Riverside Dr, Grundy, VA 24614-9597 | 2014-11-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Riverside Medical Clinic Inc. | 20886 Riverside Drive, P. O. Box 1030, Grundy, Virginia 24614 |
| Street Address |
7160 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974589 | Luauna Elaine Minten | Registered Nurse | 7160 Brockton Ave, Riverside, CA 92506-2614 | 2005-10-05 |
| 1750754826 | Laboratory Corporation of America | Clinical Medical Laboratory | 7160 Brockton Ave, Room 106, Riverside, CA 92506-2614 | 2015-11-11 |
| 1467500454 | Nadim S. Haddad | Anesthesiology | 7160 Brockton Ave, Riverside, CA 92506-2614 | 2007-01-08 |
| 1548361181 | Thong Duy Vu | Anesthesiology | 7160 Brockton Ave, Riverside, CA 92506-2614 | 2006-09-26 |
| 1477503886 | Honorata Galit Shaw | Nurse Practitioner | 7160 Brockton Ave, Riverside, CA 92506-2614 | 2006-05-10 |
| 1396709077 | Rmc Surgery Center Inc | Clinic/Center | 7160 Brockton Ave, Riverside, CA 92506 | 2006-04-12 |
| 1609850833 | John A King | Obstetrics & Gynecology | 7160 Brockton Ave, Riverside, CA 92506-2614 | 2005-12-01 |
| 1235113473 | Kenneth Edward Dozier | Obstetrics & Gynecology | 7160 Brockton Ave, Riverside, CA 92506-3912 | 2005-12-01 |
| 1144204637 | Elvin Kee-ean Yeo | Obstetrics & Gynecology | 7160 Brockton Ave, Riverside, CA 92506-3912 | 2005-11-30 |
| 1619950524 | Alamelu Subbu Nagappan | Anesthesiology | 7160 Brockton Ave, Riverside, CA 92506-3912 | 2005-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093934374 | Chirag Narayan Amin | Dermatology | 1485 Spruce St, Suite Q, Riverside, CA 92507-2445 | 2007-04-24 |
| 1548368749 | Vincent Roy Fowler | Dermatology | 9041 Magnolia Ave Ste 206, Riverside, CA 92503-3956 | 2006-09-20 |
| 1982631172 | Brian Martin Matthys | Dermatology | 1805 Nw Platte Rd, Suite 120, Riverside, MO 64150-9601 | 2006-06-26 |
| 1528054095 | Derek Nguyen | Dermatology | 4100 Central Ave, Suite 106, Riverside, CA 92506 | 2005-09-21 |
| 1720636277 | Elissa Gropen Dermatology, Inc. | Dermatology | 3576 Arlington Ave Ste 102, Riverside, CA 92506-3907 | 2019-08-28 |
| 1871805721 | Yun Sun Lee | Dermatology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2010-07-08 |
| 1003133216 | Tracy Leong | Dermatology | 7160 Brockton Ave Fl 2, Riverside, CA 92506-2614 | 2010-04-27 |
| 1467689513 | Ryan Christopher Goerig | Dermatology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2009-06-16 |
| 1114163805 | Gary Francis Dick | Dermatology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2008-12-30 |
| 1033371844 | Amy Delaney | Dermatology | 6405 Day St, Riverside, CA 92507-0901 | 2008-07-02 |
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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.