COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY (NPI# 1952329708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952329708 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY |
| Practice Address |
880 N State St Hemet CA 92543-1459 |
| Mailing Address |
Po Box 7849 Riverside CA 92513-7849 |
| Practice Telephone | 9517662450 |
| Practice Fax Number | 9517662479 |
| Mailing Telephone | 9513585222 |
| Mailing Fax Number | 9513585235 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL TWEEDELL (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9513585222 |
| Authorized Official Credential | M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363A00000X | Physician Assistant | PA14836 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | ML0707856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952496010 | County of Riverside-community Health Agency | Clinical Medical Laboratory | 4065 County Circle Dr, Riverside, CA 92503-3410 | 2006-10-04 |
| 1316928492 | County of Riverside-community Health Agency | Family Medicine | 47923 Oasis St, Indio, CA 92201-6950 | 2005-11-07 |
| 1962493288 | County of Riverside-community Health Agency | Pediatrics | 9415 Mission Blvd, Riverside, CA 92509-2600 | 2005-11-04 |
| 1790776029 | County of Riverside-community Health Agency | Internal Medicine | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2005-11-04 |
| 1598756926 | County of Riverside-community Health Agency | Nurse Practitioner | 237 N D St, Perris, CA 92570-1919 | 2005-11-03 |
| 1770574154 | County of Riverside-community Health Agency | Internal Medicine | 3055 W Ramsey St, Banning, CA 92220-3781 | 2005-11-03 |
| 1679564066 | County of Riverside-community Health Agency | Family Medicine | 505 S Buena Vista Ave, Corona, CA 92882-1901 | 2005-11-03 |
| 1366659054 | County of Riverside-community Health Agency | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2007-05-16 |
| 1417975269 | County of Riverside-community Health Agency | Family Medicine | 47923 Oasis St, Indio, CA 92201-6950 | 2006-07-18 |
| 1346268190 | County of Riverside-community Health Agency | Family Medicine | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2006-07-18 |
| Street Address |
880 N STATE ST |
| City | HEMET |
| State | CA |
| Zip Code | 92543-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038227 | Zenda Yvette Lewis | Physician Assistant | 880 N State St, Hemet, CA 92543-1459 | 2005-08-01 |
| 1356954697 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 880 N State St, Hemet, CA 92543-1459 | 2020-08-26 |
| 1114394806 | Nkolika Onyemelukwe | Marriage & Family Therapist | 880 N State St, Hemet, CA 92543-1459 | 2015-08-28 |
| 1669666186 | Jairo Eduardo Lopez | Family Medicine | 880 N State St, Hemet, CA 92543 | 2007-08-28 |
| 1578783171 | Brett Ryan Grundl | Physician Assistant | 880 N State St, Hemet, CA 92543-1459 | 2007-04-26 |
| 1114031051 | County of Riverside | Public Health or Welfare | 880 N State St, Hemet, CA 92543-1459 | 2006-08-18 |
| 1679511059 | Sandeep Pandove | Internal Medicine | 880 N State St, Hemet, CA 92543 | 2006-06-04 |
| 1891776985 | County of Riverside-community Health Agency | Family Medicine | 880 N State St, Hemet, CA 92543-1459 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436732 | Henna Mohammad | Physician Assistant | 409 E Thornton Ave Apt H202, Hemet, CA 92543-7652 | 2020-08-07 |
| 1780912014 | Zulema Carrillo | Physician Assistant | 1003 N State St, Hemet, CA 92543-1474 | 2009-11-24 |
| 1922253814 | Hilda Vigil | Physician Assistant | 3853 W Stetson Ave Ste 100, Hemet, CA 92545-9675 | 2008-11-19 |
| 1912037201 | Becky Lynn Gorham | Physician Assistant | 391 N San Jacinto St Ste A, Hemet, CA 92543 | 2007-03-06 |
| 1174534838 | Allan Bedashi | Physician Assistant | 1525 W Florida Ave, Hemet, CA 92543-3825 | 2006-08-10 |
| 1679584445 | Linda Carol Broussard | Physician Assistant | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2006-08-10 |
| 1871595017 | Rachel Anne Mcduffie | Physician Assistant | 1264 E Latham Ave, Hemet, CA 92543-4445 | 2005-06-01 |
| 1972061729 | Patricia Mary Korszyk | Physician Assistant | 162 N Santa Fe St, Hemet, CA 92543-4451 | 2019-03-11 |
| 1659848414 | Lindsey Char | Physician Assistant | 3853 W Stetson Ave, Hemet, CA 92545-9674 | 2018-10-30 |
| 1194242461 | Nicolas Antonio Corvini | Physician Assistant | 903 E Devonshire Ave Ste D, Hemet, CA 92543-3097 | 2017-08-27 |
| Find all providers in HEMET | ||||
Please comment or provide details below to improve the information on COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY.
| 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.