RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. (NPI# 1790911964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790911964 |
Entity Type | Organization |
Organization Name | RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. |
Practice Address |
4440 Brockton Ave Suite 100 Riverside CA 92501-4068 |
Mailing Address |
Po Box 15648 Sacramento CA 95852-0648 |
Practice Telephone | 9517812277 |
Practice Fax Number | 9517812293 |
Mailing Telephone | 9517812277 |
Mailing Fax Number | 9517812293 |
Enumeration Date | 2009-06-02 |
Last Update Date | 2009-06-02 |
Authorized Official Name | DONALD R. MASSEE (PRESIDENT) |
Authorized Official Telephone | 9517812277 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700252467 | Riverside Radiology Medical Group, Inc. | Radiology | 30700 E Sunset Dr S, Redlands, CA 92373-7448 | 2015-08-18 |
1700261765 | Riverside Radiology Medical Group, Inc. | Radiology | 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 | 2015-07-20 |
1982028486 | Riverside Radiology Medical Group, Inc. | Radiology | 1660 Chicago Ave, Suite # M-9, Riverside, CA 92507-2068 | 2014-02-05 |
1851694699 | Riverside Radiology Medical Group, Inc. | Radiology | 338 Lowell Ave, Mill Valley, CA 94941-3845 | 2010-12-17 |
1457653206 | Riverside Radiology Medical Group, Inc. | Radiology | 3651 Laketree Dr, Fallbrook, CA 92028-9404 | 2010-11-30 |
1619278348 | Riverside Radiology Medical Group, Inc. | Radiology | 9 Tesoro, Newport Coast, CA 92657-1214 | 2010-11-11 |
1932409703 | Riverside Radiology Medical Group, Inc. | Radiology | 104 Ormskirk, Williamsburg, VA 23188-8941 | 2010-10-27 |
1518267384 | Riverside Radiology Medical Group, Inc. | Radiology | 7410 Yonie Ct, Las Vegas, NV 89117-2159 | 2010-10-27 |
1669772448 | Riverside Radiology Medical Group, Inc. | Radiology | 1 Meadowbrook Rd, Franklin, MA 02038-1133 | 2010-10-27 |
1003116872 | Riverside Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2010-10-27 |
Street Address |
4440 BROCKTON AVE SUITE 100 |
City | RIVERSIDE |
State | CA |
Zip Code | 92501-4068 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518916725 | Mario P Carcamo | Pediatrics | 4440 Brockton Ave, Suite 420, Riverside, CA 92501-4068 | 2006-05-08 |
1184015133 | Pamela Hughes | Nurse Practitioner | 4440 Brockton Ave, Suite 420, Riverside, CA 92501-4068 | 2015-02-12 |
1972864544 | David Joung | Pediatrics | 4440 Brockton Ave, Ste 420, Riverside, CA 92501-4068 | 2012-05-31 |
1588892889 | Ana Cecilia Vargas-villena | Nurse Practitioner | 4440 Brockton Ave, Riverside, CA 92501-4068 | 2009-06-24 |
1336349869 | Angela Ngan-chi Fu | Optometrist | 4440 Brockton Ave, Suite 130, Riverside, CA 92501-4068 | 2007-07-23 |
1467651919 | Ryan Aboulhosn | Optometrist | 4440 Brockton Ave, Suite #: 130, Riverside, CA 92501-4068 | 2007-07-15 |
1639212574 | Jacqueline G. Agcaoili, Md Corporation | Internal Medicine | 4440 Brockton Ave, Suite 320, Riverside, CA 92501-4068 | 2007-02-14 |
1922171644 | Maninder P Arora | Specialist | 4440 Brockton Ave, Suite #130, Riverside, CA 92501-4068 | 2006-11-17 |
1548346083 | Jennifer Beth Newcombe | Nurse Practitioner | 4440 Brockton Ave, Riverside, CA 92501-4068 | 2006-10-27 |
1659472025 | Sorin Eremia Md Inc A Prof Corp | Dermatology | 4440 Brockton Ave, Suite 200, Riverside, CA 92501-4068 | 2006-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
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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 |
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 |
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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.