ORANGECREST MEDICAL GROUP, INC.


Address: 14200 Meridian Pkwy Ste 101, Riverside, CA 92518-3044
Phone: 9516530655

ORANGECREST MEDICAL GROUP, INC. (NPI# 1033676317) 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) 1033676317
Entity Type Organization
Organization Name ORANGECREST MEDICAL GROUP, INC.
Practice Address 14200 Meridian Pkwy Ste 101
Riverside
CA 92518-3044
Mailing Address 4646 Brockton Ave Ste 203
Riverside
CA 92506-0104
Practice Telephone 9516530655
Practice Fax Number 9516530664
Mailing Telephone 9517742881
Mailing Fax Number 9517742846
Enumeration Date 2019-02-22
Last Update Date 2020-04-22
Authorized Official Name DEBORAH NOVELLINO (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9517742881
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
N 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA ARTICLES OF INCORPORATION 4232015 01

Office Location

Street Address 14200 MERIDIAN PKWY STE 101
City RIVERSIDE
State CA
Zip Code 92518-3044

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720603301 William Donald Emergency Medical Technician, Paramedic March Air Reserve Base, Moreno Valley, CA 92518 2020-06-10
1861011876 Monika Ellyn Garcia Student in an Organized Health Care Education/Training Program 14350 Meridian Parkway Box #2, Riverside, CA 92518 2020-04-09
1558906164 Jasmine Feely Registered Nurse 5770 Riverside Dr Bldg 601, 752 Medical Squadron, March Arb, CA 92518 2019-11-07
1952957375 April Blum Nurse Practitioner 14200 Meridian Parkway, # 101, Riverside, CA 92518 2019-08-12
1902463094 Dale Timothy Hoang Student in an Organized Health Care Education/Training Program 14350-2 Meridian Pkwy, Riverside, CA 92518 2019-05-23
1619534716 Karen Stacy Clarey Student in an Organized Health Care Education/Training Program 14350-2 Meridian Parkway, Riverside, CA 92518 2019-05-23
1528548070 Holly Stevenson Registered Nurse 5770 Riverside Dr., Bldg 601, 752d Medical Squadron, March Arb, CA 92518 2018-08-15
1275058026 James Lee Mitchener IIi Registered Nurse 5770 Riverside Drive, Building 601, 752 Medical Squadron, March Arb, CA 92518 2017-08-12
1710400239 Dominique B. Horne Registered Nurse 5770 Riverside Dr. Bldg 601, 752 Medical Squadron, March Arb, CA 92518 2017-07-18
1891150918 Irene Peralta Registered Nurse 770 Riverside Dr., Bldg 601, March Arb, CA 92518 2015-12-16
Find all providers in zip 92518

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700309689 Lumina Family Care, Inc. Family Medicine 6780 Indiana Ave Ste 110, Riverside, CA 92506-4284 2017-07-21
1730613019 Iman Fobia Family Medicine 1971 University Avenue, Riverside, CA 92507 2017-04-13
1992189286 Inpatient Consultants of California, Inc Family Medicine 7177 Brockton Ave Ste 217, Riverside, CA 92506-2633 2015-07-16
1376920116 Koohzad Karimi Family Medicine 445 Magnolia Avenue, Riverside, CA 92501 2015-04-30
1528474103 Ivy Cao Family Medicine 1971 University Ave, Family Medicine Department, Riverside, CA 92507 2014-07-03
1417372533 John Mcdevitt Family Medicine 3550 Lillian St, Riverside, CA 92504-3609 2014-02-26
1972861797 Central Occupational Medicine Providers Ontario Inc Family Medicine 4300 Central Ave, Riverside, CA 92506-2918 2012-04-30
1619241767 Inpatient Consultants of California, Inc Family Medicine 3610 Central Ave Ste 205, Riverside, CA 92506-5905 2012-03-06
1437438033 George Samir Nagib Family Medicine 7140 Indiana Ave., Riverside, CA 92504-3927 2011-08-12
1902193170 Metate Medical, Inc. Family Medicine 3538 Central Ave, Suite 110, Riverside, CA 92506-2731 2011-07-07
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92518

Improve Information

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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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