DR. CARL WOLNISTY (NPI# 1912906140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912906140 |
| Entity Type | Individual |
| Full Name | DR. CARL WOLNISTY |
| Credential | M.D. |
| Practice Address |
3838 Sherman Dr Suite 7 Riverside CA 92503-4001 |
| Practice Telephone | 9516885122 |
| Practice Fax Number | 9516888145 |
| Mailing Telephone | 9516885122 |
| Mailing Fax Number | 9516888145 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2010-08-03 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G5804 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID PTAN | CR238Z | 01 |
| Street Address |
3838 SHERMAN DR SUITE 7 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053855585 | Chandrasekhar Eadara | Pharmacist | 3838 Sherman Dr, Ste 1, Riverside, CA 92503-4001 | 2016-12-19 |
| 1316319106 | Laura Marie Aguilar | Nurse Practitioner | 3838 Sherman Dr, Suite 3, Riverside, CA 92503-4001 | 2015-10-20 |
| 1063899698 | Inland Pediatrics, Inc. | Pediatrics | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4001 | 2015-05-04 |
| 1144597444 | Paul Micheal Hupp | Physician Assistant | 3838 Sherman Dr, Suite 3, Riverside, CA 92503-4001 | 2011-11-30 |
| 1982996898 | Ming-chuan Chang | Nurse Practitioner | 3838 Sherman Dr, Sutie 10, Riverside, CA 92503-4001 | 2011-05-11 |
| 1437321155 | Sharon Laughlin Inc | Legal Medicine | 3838 Sherman Dr, 3, Riverside, CA 92503-4001 | 2008-04-02 |
| 1982875704 | Carl Wolnisty Md Inc | Internal Medicine | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4098 | 2008-03-19 |
| 1821278169 | Hajera Sultana Md., Inc | Family Medicine | 3838 Sherman Dr, Ste 12, Riverside, CA 92503-4001 | 2007-11-04 |
| 1124207410 | Robert E Parker Dpm | Podiatrist | 3838 Sherman Dr, Suite 9, Riverside, CA 92503-4001 | 2007-11-02 |
| 1396957932 | Myrtle Jean Krushall | Nurse Practitioner | 3838 Sherman Dr, Suite 5, Riverside, CA 92503-4001 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| 1134626690 | Fanny Vanessa Giron Galeano | Internal Medicine | 3722 South Harlem Ave Macneal Center for Internal Medic, Suite Ll34, Riverside, IL 60546 | 2018-04-11 |
| Find all providers in RIVERSIDE | ||||
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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.