Hawanatu Fofanah (NPI# 1831561448, PAC ID# 1456657774) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831561448 |
| PAC ID by PECOS | 1456657774 |
| Professional Enrollment ID | I20160314001160 |
| Full Name | Hawanatu Fofanah |
| Organization Legal Name | PROVIDENCE HEALTHCARE PARTNERS, INC |
| Address |
4445 Magnolia Ave Riverside CA 92501-4135 |
| Phone Number | 9517883000 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163723610 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3865 Jackson St, Riverside, CA 92503-3919 | 9516882211 | PROVIDENCE HEALTHCARE PARTNERS, INC |
| 4445 Magnolia Ave, Riverside, CA 92501-4135 | 9517883000 | PROVIDENCE HEALTHCARE PARTNERS, INC |
| Organization Legal Name | PROVIDENCE HEALTHCARE PARTNERS, INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia R Pitchford | Nurse Practitioner | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Victor Fayad | Internal Medicine | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Nawal Badran | Internal Medicine | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Lana R Rhodes | Nurse Practitioner | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Edward Sun | Family Medicine | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Calvin Purushottam Patel | Family Medicine | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Sanjeev Puri | Family Medicine | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Malini Ranat | Family Medicine | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Vincent Lee | Internal Medicine | Providence Healthcare Partners, Inc | 4440 Brockton Ave, Suite 300, Riverside, CA 92501-4026 |
| Garvin Sidharaj Patel | Internal Medicine | Providence Healthcare Partners, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Street Address |
4445 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip | 92501-4135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Woodall | Emergency Medicine | Cep America - California | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Shawn Robert Hurley | Nurse Practitioner | California Neurointerventional Surgeons, Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Frances R Mccann | Nurse Practitioner | Magnolia Acute Trauma, A Medical Corporation | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Michelle L Meyer | Pathology | Pathology Medical Group of Riverside | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Adnan A Misellati | Family Medicine | 4445 Magnolia Ave, Riverside, CA 92501-4135 | |
| Seung Hei Anna Ferro | Nurse Practitioner | Magnolia Acute Trauma, A Medical Corporation | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Thu T Tang | Diagnostic Radiology | Riverside Radiology Medical Group Inc | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Mahesh S Desilva | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Darren H Okada | Pathology | Pathology Medical Group of Riverside | 4445 Magnolia Ave, Riverside, CA 92501-4135 |
| Michael F Bishara | Addiction Medicine | 4445 Magnolia Ave, Riverside, CA 92501-4135 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar Saleh | Diagnostic Radiology | Nephrology Associates Medical Group Inc | 4100 Latham St, A, Riverside, CA 92501-1733 |
| Paul T Huynh | Nephrology | Nephrology Associates Medical Group Inc | 4100 Latham St, A, Riverside, CA 92501-1733 |
| Anthony D Becker | Diagnostic Radiology | Nephrology Associates Medical Group Inc | 4100 Latham St, A, Riverside, CA 92501-1733 |
| Yogesh Patel | Nephrology | Nephrology Associates Medical Group Inc | 4100 Latham St, A, Riverside, CA 92501-1733 |
| Christina Pantazopoulos | Orthopedic Surgery | Orthopaedic Medical Group of Riverside, Inc. | 4354 Latham St, Suite 100, Riverside, CA 92501-1777 |
| Bryant C Leung | Physical Medicine and Rehabilitation | Orthopaedic Medical Group of Riverside, Inc. | 4354 Latham St, Suite 100, Riverside, CA 92501-1777 |
| Gurvinder S Uppal | Orthopedic Surgery | Orthopaedic Medical Group of Riverside, Inc. | 4354 Latham St, Suite 100, Riverside, CA 92501-1777 |
| Brian T Yost | Orthopedic Surgery | Orthopaedic Medical Group of Riverside, Inc. | 4354 Latham St, Suite 100, Riverside, CA 92501-1777 |
| John Gonzalez | Orthopedic Surgery | Orthopaedic Medical Group of Riverside, Inc. | 4354 Latham St, Suite 100, Riverside, CA 92501-1777 |
| Donald Kim | Orthopedic Surgery | Orthopaedic Medical Group of Riverside, Inc. | 4354 Latham St, Suite 100, Riverside, CA 92501-1777 |
| Find all physicians in zip 92501 | |||
| City | RIVERSIDE |
| Zip Code | 92501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RIVERSIDE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Hawanatu Fofanah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.