ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC. (NPI# 1013576180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013576180 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC. |
| Practice Address |
1800 Western Ave Ste 106 San Bernardino CA 92411-1352 |
| Mailing Address |
4354 Latham St Ste 100 Riverside CA 92501-1777 |
| Practice Telephone | 9516830650 |
| Practice Fax Number | 9517744612 |
| Mailing Telephone | 9516830650 |
| Mailing Fax Number | 9517744612 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | CHRISTY DEMERS (CREDENTIALING) |
| Authorized Official Telephone | 9516830650 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ40607Z | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4354 Latham St Ste 100, Riverside, CA 925011777 | 9516830650 | 9517744612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164915716 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 4354 Latham St Ste 100, Riverside, CA 92501-1777 | 2018-06-08 |
| 1144491895 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 6800 Brockton Ave, 2, Riverside, CA 92506-3810 | 2008-03-20 |
| 1215107354 | Orthopaedic Medical Group of Riverside, Inc. | Psychologist | 6850 Brockton Ave, Suite 212, Riverside, CA 92506-3808 | 2008-03-05 |
| 1316051261 | Orthopaedic Medical Group of Riverside, Inc. | Physical Medicine & Rehabilitation | 399 E Highland Ave, Suite 409, San Bernardino, CA 92404-3808 | 2006-08-18 |
| 1598878449 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 6485 Day St, Suite 301, Riverside, CA 92507-0929 | 2006-08-16 |
| 1083626048 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2006-08-11 |
| 1124050620 | Orthopaedic Medical Group of Riverside, Inc. | Psychologist | 6860 Brockton Ave, Suite 7, Riverside, CA 92506-3816 | 2006-07-07 |
| 1568494078 | Orthopaedic Medical Group of Riverside, Inc. | Clinic/Center | 399 E Highland Ave, Suite 409, San Bernardino, CA 92404-3808 | 2006-07-07 |
| 1215965645 | Orthopaedic Medical Group of Riverside, Inc. | Clinic/Center | 6485 Day St, Suite 303, Riverside, CA 92507-0929 | 2006-06-28 |
| 1477512671 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 6800 Brockton Ave, Riverside, CA 92506-3810 | 2006-03-17 |
| Street Address |
1800 WESTERN AVE STE 106 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558796706 | San Bernardino Medical Orthopaedic Group | Orthopaedic Surgery | 2131 Elks Dr Ste 200-201, San Bernardino, CA 92404-5544 | 2013-09-06 |
| 1043566029 | Eugene I. Emembolu, M.d., Inc. | Orthopaedic Surgery | 399 E. Highland Avenue, Suite 506, San Bernardino, CA 92404-3865 | 2012-07-27 |
| 1972645182 | Jayaraja Yogaratnam | Orthopaedic Surgery | 341 W 2nd Street, Suite #3, San Bernardino, CA 92401-1804 | 2007-02-13 |
| 1508884743 | David Hunter Doty | Orthopaedic Surgery | 2131 Elks Dr, Suite 200, San Bernardino, CA 92404-5544 | 2006-07-17 |
| 1780689711 | Peter J. Sofia | Orthopaedic Surgery | 399 E. Highland Ave, #409, San Bernardino, CA 92404 | 2005-06-16 |
| 1376865964 | Anthony Fenison, Md, Inc | Orthopaedic Surgery | 155 W Hospitality Ln Ste 105, San Bernardino, CA 92408-3317 | 2010-02-23 |
| 1851523443 | Anthony T. Fenison, M.d., Inc. | Orthopaedic Surgery | 155 W Hospitality Ln Ste 105, San Bernardino, CA 92408-3317 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163382 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5149 | 2020-10-30 |
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
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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.