RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.


Address: 4440 Brockton Ave, Suite 100, Riverside, CA 92501-4068
Phone: 9517812277

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Office Location

Street Address 4440 BROCKTON AVE
SUITE 100
City RIVERSIDE
State CA
Zip Code 92501-4068

Providers in the same location

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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Providers in the same zip code

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
Find all providers in zip 92501

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City RIVERSIDE
Zip Code 92501

Improve Information

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Dataset Information

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.

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