COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY (NPI# 1790776029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790776029 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY |
| Practice Address |
2499 E Lakeshore Dr Lake Elsinore CA 92530-4446 |
| Mailing Address |
Po Box 7849 Riverside CA 92513-7849 |
| Practice Telephone | 9516743250 |
| Practice Fax Number | 9512454502 |
| Mailing Telephone | 9513585222 |
| Mailing Fax Number | 9513585235 |
| Enumeration Date | 2005-11-04 |
| 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 | 207R00000X | Internal Medicine | A062691 | 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 | BL5394832 | 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 |
| 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 |
| 1679564066 | County of Riverside-community Health Agency | Family Medicine | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 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 |
2499 E LAKESHORE DR |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381132 | Valencia Youkhanna | Psychologist | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4411 | 2018-06-28 |
| 1730625294 | Stephanie Ann Ellis | Social Worker | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2017-01-09 |
| 1578017380 | Kristine Joy Ventura | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4411 | 2016-08-09 |
| 1821258922 | Sandar Kyi | Clinic/Center | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2008-06-11 |
| 1952584559 | Sharron Lee Schrenk | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-12-06 |
| 1831370303 | Iliam Amalia Cisneros | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-11-26 |
| 1518148576 | Craig Demers | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-11-19 |
| 1407925209 | Reginald R Peters | Physician Assistant | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-11-07 |
| 1396859179 | County of Riverside | Public Health or Welfare | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-08-18 |
| 1033122601 | Michael C Lam | Internal Medicine | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063740520 | Lakeshore Medical Clinic Inc | Internal Medicine | 16770 Lakeshore Dr Ste G, Lake Elsinore, CA 92530-4953 | 2009-11-20 |
| 1043390040 | Saif U Bajwa | Internal Medicine | 31739 Riverside Dr, # A, Lake Elsinore, CA 92530-7818 | 2006-10-16 |
| 1033204235 | Joel A. Pengson, Md Inc A Medical Corporation | Internal Medicine | 31571 Canyon Estates Dr, Ste. 225, Lake Elsinore, CA 92532-0471 | 2006-10-04 |
| 1053334524 | Mohamed Badr | Internal Medicine | 703 W Graham Ave, Suite 101, Lake Elsinore, CA 92530-3514 | 2006-07-25 |
| 1891767935 | Farid Saadat | Internal Medicine | 425 Diamond Drive, Suite 102, Lake Elsinore, CA 92530-4561 | 2006-02-03 |
| 1669883237 | Michael C. Lam M.d. Inc | Internal Medicine | 31571 Canyon Estates Dr, #228, Lake Elsinore, CA 92532-0468 | 2014-05-16 |
| 1922234293 | Tyrone Arce Md Inc. | Internal Medicine | 121 S Main St, Lake Elsinore, CA 92530-4108 | 2009-06-01 |
| 1205085800 | Tyrone Enrique Arce | Internal Medicine | 121 South Main Street, Lake Elsinore, CA 92530-4108 | 2008-09-18 |
| 1700059995 | Farid Saadat Md Inc | Internal Medicine | 425 Diamond Dr, Suite 102, Lake Elsinore, CA 92530-4561 | 2008-04-08 |
| 1902993256 | M Badr Md Inc | Internal Medicine | 703 W Graham Ave, 101, Lake Elsinore, CA 92530-3514 | 2006-10-06 |
| Find all providers in LAKE ELSINORE | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
Please comment or provide details below to improve the information on COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY.
| 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.