COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY


Address: 9415 Mission Blvd, Riverside, CA 92509-2600
Phone: 9513608795

COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY (NPI# 1962493288) 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) 1962493288
Entity Type Organization
Organization Name COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY
Practice Address 9415 Mission Blvd
Riverside
CA 92509-2600
Mailing Address Po Box 7849
Riverside
CA 92513-7849
Practice Telephone 9513608795
Practice Fax Number 9513608798
Mailing Telephone 9513585222
Mailing Fax Number 9513585235
Enumeration Date 2005-11-04
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 208000000X Pediatrics A72474 CA Allopathic & Osteopathic Physicians
X 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA BC7555874 01

Other Provider IDs and Locations

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
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
1952329708 County of Riverside-community Health Agency Physician Assistant 880 N State St, Hemet, CA 92543-1459 2006-07-18
1346268190 County of Riverside-community Health Agency Family Medicine 7140 Indiana Ave, Riverside, CA 92504-4544 2006-07-18

Office Location

Street Address 9415 MISSION BLVD
City RIVERSIDE
State CA
Zip Code 92509-2600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639637895 Cheng Yi Teng Yen Marriage & Family Therapist 9415 Mission Blvd, Riverside, CA 92509-2661 2019-03-06
1073088225 Walter Ernesto Hernandez Nurse Practitioner 9415 Mission Blvd, Riverside, CA 92509-2661 2018-10-03
1124229612 Kathlene Marie Everhart Physician Assistant 9415 Mission Blvd, Riverside, CA 92509-2600 2007-05-30
1831261155 Geoffrey Won-chen Leung Family Medicine 9415 Mission Blvd, Riverside, CA 92509-2600 2006-11-14
1457422644 Pratik Shah Dds Inc. Dentist 9415 Mission Blvd, Ste# L, Riverside, CA 92509-2600 2006-11-11
1396859237 County of Riverside- Community Health Agency Family Medicine 9415 Mission Blvd, Riverside, CA 92509-2600 2006-08-18
1437162005 Yukuen Chung Family Medicine 9415 Mission Blvd, Riverside, CA 92509-2600 2006-08-14
1245243815 Martha A Chong Pediatrics 9415 Mission Blvd, Riverside, CA 92509-2600 2006-08-14
1053321182 County of Riverside- Community Health Agency Family Medicine 9415 Mission Blvd, Riverside, CA 92509-2600 2006-08-09
1396751939 Pratik M Shah Dentist 9415 Mission Blvd, Ste# L, Riverside, CA 92509-2600 2006-08-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720530744 Leesette De Santiago Dental Assistant 6130 Camino Real #12, Riverside, CA 92509 2016-10-25
1043646383 Andy R Moreno Counselor 7790 Big Rock Dr., Riverside, CA 92509 2013-09-18
1275845018 Myra Agnes Harrison Pharmacist 8015 Limonete, Rite Aid, Riverside, CA 92509 2010-07-09
1740424415 Lin Chew Ota Obstetrics & Gynecology 6250 Clay Street, Riverside, CA 92509 2009-04-27
1164660106 Ramona Jean Carver Marriage & Family Therapist 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 2009-01-29
1568627925 Lisa Anne Razo Marriage & Family Therapist 6580 45th St, Riverside, CA 92509 2008-07-25
1215106810 Xia L. Liu Professional Dentl Corp Dentist 8880 Limonite Ave, Pedley, CA 92509 2008-02-27
1467658385 Riverside County Rubidoux Pharmacy Pharmacy 5256 Mission Ave, Rubidoux, CA 92509 2007-06-26
1366644429 Cynthia Stover Physician Assistant 5256 Mission Boulevard, Riverside, CA 92509 2007-06-01
1942327499 Sober Living By The Sea, Inc Substance Abuse Rehabilitation Facility 6690 Limonite Frontage Rd, Riverside, CA 92509 2007-03-22
Find all providers in zip 92509

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710590971 Javier R Rios Md, A Professional Corporation Pediatrics 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 2020-08-27
1295187003 Sharon L. Bivins, M.d. Pediatrics 16743 Orville Wright Dr, Riverside, CA 92518-2928 2016-07-05
1831540715 Hilary Christina Hoffmeister Pediatrics 41 Jones Park Dr, Riverside, CT 06878-2205 2016-06-22
1023453081 Stacy Marie Catalon Pediatrics 19314 Jesse Ln, Riverside, CA 92508-5069 2013-05-05
1588935233 Joseph M Molina Md Professional Corporation-southern California Pediatrics 5549 Van Buren Blvd., Riverside, CA 92503-2068 2012-01-25
1497049126 Nancy Nejman Fazzinga I Pediatrics 10 Newton St, Riverside, CT 06878-2010 2011-05-28
1457597247 Natasha Denise White Pediatrics 1744 University Ave Ste 100, Riverside, CA 92507-5364 2008-12-28
1285887653 Jennifer Elaine Rousseau Pediatrics 9041 Magnolia Ave Ste 305, Riverside, CA 92503-3957 2008-10-29
1063672160 Beth Joy Rosenberg Pediatrics 1171 E Putnam Ave Ste 2b, Riverside, CT 06878-1426 2008-06-11
1639378748 Adwoa P Osei Pediatrics Ucr Health Multispecialty, 3390 University Ave., Ste., 100, Riverside, CA 92501 2007-07-17
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92509

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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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