RIVERSIDE EYE, EAR, NOSE,THROAT INSTITUTE (NPI# 1811091374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811091374 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE EYE, EAR, NOSE,THROAT INSTITUTE |
| Practice Address |
4500 Brockton Ave L05 Riverside CA 92501-4090 |
| Practice Telephone | 9517882788 |
| Mailing Telephone | 9517882788 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | DR. JOHN J. ALLAVIE (PRESIDENT) |
| Authorized Official Telephone | 9516864911 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
250000356 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUR51087F | 05 |
| Street Address |
4500 BROCKTON AVE L05 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770974 | Jan Paul Maddox | Pain Medicine | 4500 Brockton Ave, Ste 305, Riverside, CA 92501-4028 | 2005-06-14 |
| 1831656578 | Lucyana Magrietta Panjaitan | Nurse Practitioner | 4500 Brockton Ave, Riverside, CA 92501-4090 | 2019-02-28 |
| 1518401546 | Faculty Physicians and Surgeons of Llusm | Physician Assistant | 4500 Brockton Ave, Ste 201, Riverside, CA 92501-4090 | 2016-12-09 |
| 1396108940 | Thaker Urological Center, Inc. | Specialist | 4500 Brockton Ave, Suite 204, Riverside, CA 92501-4090 | 2016-03-31 |
| 1063874337 | Mission Urology, Inc. | Internal Medicine | 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027 | 2016-03-24 |
| 1558759969 | Mid-valley Surgicenter Inc | Clinic/Center | 4500 Brockton Ave, Suite 105, Riverside, CA 92501-4090 | 2015-01-07 |
| 1306254669 | Jocelyn Cases | Nurse Practitioner | 4500 Brockton Ave, Suite 315, Riverside, CA 92501-4090 | 2014-07-30 |
| 1841530169 | Jennifer Lynn Gilden | Physician Assistant | 4500 Brockton Ave, Riverside, CA 92501-4090 | 2013-02-22 |
| 1275881609 | Sri Gorty M.d. Inc | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-15 |
| 1780931709 | Munther Alqaisi M.d. A Professional Medical Corporation | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-08 |
| Find all providers in the same location | ||||
| 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 Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821536343 | Salutaris Surgery Center, Inc. | Clinic/Center | 9041 Magnolia Ave Ste 301, Riverside, CA 92503-3957 | 2017-02-03 |
| 1225184153 | Jean Cheng, M.d. Inc. | Clinic/Center | 8990 Garfield St Ste 1, Riverside, CA 92503-3922 | 2007-01-25 |
| 1497810428 | Inland Outpatient Care Centers Inc. | Clinic/Center | 4217 Luther St, Riverside, CA 92506-2853 | 2006-12-27 |
| 1285735936 | Brockton Surgical Center | Clinic/Center | 5905 Brockton Avenue, Suite B, Riverside, CA 92506 | 2006-09-26 |
| 1922098037 | James A Desilva | Clinic/Center | 7310 Magnolia Ave, Riverside, CA 92504-3849 | 2005-10-28 |
| 1821637984 | Obls & Physician Services Inc | Clinic/Center | 4500 Brockton Ave Ste 105, Riverside, CA 92501-4006 | 2020-01-06 |
| 1952809865 | Cornerstone Surgery Center Inc | Clinic/Center | 10694 Magnolia Ave, Riverside, CA 92505-1816 | 2018-01-25 |
| 1104276393 | Mission Surgical Group | Clinic/Center | 3660 Park Sierra Dr, Riverside, CA 92505-3081 | 2016-06-17 |
| 1386003390 | Riverwalk Surgery Center, LLC | Clinic/Center | 4234 Riverwalk Pkwy, Suite 140, Riverside, CA 92505-8510 | 2016-02-18 |
| 1255796389 | University Surgery Center, Inc | Clinic/Center | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2015-12-16 |
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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.