PHOENIX MEDICAL GROUP, INC. (NPI# 1811339385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811339385 |
Entity Type | Organization |
Organization Name | PHOENIX MEDICAL GROUP, INC. |
Practice Address |
3576 Arlington Ave Suite 100 Riverside CA 92506-3943 |
Practice Telephone | 9516876600 |
Practice Fax Number | 9516876601 |
Mailing Telephone | 9516876600 |
Mailing Fax Number | 9516876601 |
Enumeration Date | 2013-07-24 |
Last Update Date | 2013-07-24 |
Authorized Official Name | DR. BRENT PRATELY (ORTHOPEDIC) |
Authorized Official Telephone | 9516876600 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171100000X | Acupuncturist | Other Service Providers | ||
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427490903 | Phoenix Medical Group, Inc. | Acupuncturist | 353 E 1st St, Calexico, CA 92231-2731 | 2013-07-24 |
1255763058 | Phoenix Medical Group, Inc. | Acupuncturist | 4355 E Airport Dr, Suite 100, Ontario, CA 91761-7812 | 2013-08-02 |
1649612128 | Phoenix Medical Group, Inc. | Acupuncturist | 7851 Mission Center Ct, Suite 205, San Diego, CA 92108-1325 | 2013-07-24 |
Street Address |
3576 ARLINGTON AVE SUITE 100 |
City | RIVERSIDE |
State | CA |
Zip Code | 92506-3943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568570018 | Jack Lawrence Johnson | Marriage & Family Therapist | 3576 Arlington Ave, Suite 307, Riverside, CA 92506-3943 | 2006-08-25 |
1518503853 | Luticia Cabe | Counselor | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2019-11-21 |
1760979322 | Yeseira Munoz-vitela | Rehabilitation Practitioner | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2018-04-19 |
1760933915 | Sarah Howard | Counselor | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2016-10-21 |
1508219296 | Magali Regalado | Counselor | 3576 Arlington Ave, Suite 102/104, Riverside, CA 92506-3943 | 2016-07-18 |
1225492770 | Michael Berber | Counselor | 3576 Arlington Ave, Ste 102, Riverside, CA 92506-3943 | 2016-04-11 |
1902206410 | Paola Andrea Hernandez | Counselor | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2014-09-03 |
1417386202 | David Reneau | Counselor | 3576 Arlington Ave, Riverside, CA 92506-3943 | 2013-11-02 |
1518210632 | Desmond Kenneth Meraz | Counselor | 3576 Arlington Ave, Suite 102, Riverside, CA 92506-3943 | 2012-10-26 |
1922387935 | Immaculate Care Center,inc | Community/Behavioral Health | 3576 Arlington Ave, Suite 203, Riverside, CA 92506-3943 | 2011-08-08 |
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 | 111NX0800X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Orthopedic |
Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508873803 | David G Madison | Chiropractor | 3768 Jurupa Ave, Riverside, CA 92506-2514 | 2006-08-01 |
1134301716 | Frank J Perez | Chiropractor | 4354 Latham St, Suite 100, Riverside, CA 92501-1777 | 2007-12-05 |
1548342017 | Seyedamir Sherafat | Chiropractor | 6276 River Crest Dr, Riverside, CA 92507-0754 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174094809 | Total Health | Chiropractor | 14650 Aviation Blvd Ste 100, Hawthorne, CA 90250-6667 | 2018-12-06 |
1447786074 | Gail Penniman | Chiropractor | 2745 Porter St, Ste D, Soquel, CA 95073-2471 | 2017-05-02 |
1528506540 | Ian Fitz-gibbon | Chiropractor | 1800 N Broadway, Santa Ana, CA 92706-2656 | 2017-02-09 |
1932654761 | Capital Medical Group PC | Chiropractor | 7007 Washington Ave Ste 350, Whittier, CA 90602-3611 | 2016-08-22 |
1871941757 | Alan Pires | Chiropractor | 1676 Gaywood Dr, Altadena, CA 91001-1852 | 2016-06-01 |
1184097990 | Kartch Chiropractic, PC | Chiropractor | 3661 Grand Ave Ste 101-103, Oakland, CA 94610-2025 | 2015-11-03 |
1881064061 | Jennifer Louise Martin | Chiropractor | 73741 Highway 111, Palm Desert, CA 92260-4016 | 2015-10-01 |
1154721900 | Western Orthopaedic Group PC | Chiropractor | 13120 Philadelphia St, Whittier, CA 90601-4301 | 2014-08-29 |
1780099259 | Nicholas Edward Cruze | Chiropractor | 1528 Union St, San Francisco, CA 94123-4505 | 2014-06-24 |
1760800288 | Renbarger Chiropractic,inc. | Chiropractor | 751 Blossom Hill Rd Ste A2, Los Gatos, CA 95032-3583 | 2014-04-01 |
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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.