RIVERWALK FACIAL AND ORAL SURGERY (NPI# 1053609842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053609842 |
| Entity Type | Organization |
| Organization Name | RIVERWALK FACIAL AND ORAL SURGERY |
| Practice Address |
4234 Riverwalk Pkwy Suite 140 Riverside CA 92505-8510 |
| Practice Telephone | 9093278818 |
| Mailing Telephone | 9093278818 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | DR. JEFFREY S DEAN (PRESIDENT) |
| Authorized Official Telephone | 9093278818 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
59436 | CA | Ambulatory Health Care Facilities |
| Street Address |
4234 RIVERWALK PKWY SUITE 140 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427094960 | Advanced Orthopedics and Sports Medicine, A Medical Corporation | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2006-06-22 |
| 1386003390 | Riverwalk Surgery Center, LLC | Clinic/Center | 4234 Riverwalk Pkwy, Suite 140, Riverside, CA 92505-8510 | 2016-02-18 |
| 1437524949 | San Bernardino Medical Orthopedic Group Dba Arrowhead Orthopaedics | Physical Therapist | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2015-12-09 |
| 1407253446 | Riverside Regional Surgery Center Inc | Clinic/Center | 4234 Riverwalk Pkwy, Ste 160, Riverside, CA 92505-8510 | 2014-11-19 |
| 1801221056 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2013-09-06 |
| 1881991669 | Roy J Caputo Md Inc | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Ste 200, Riverside, CA 92505-8510 | 2011-02-14 |
| 1053618835 | Bret Powers Do Inc | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Ste 200, Riverside, CA 92505-8510 | 2011-02-14 |
| 1194037945 | Ahmad Alazzeh | Internal Medicine | 4234 Riverwalk Pkwy, Riverside, CA 92505-8510 | 2010-07-09 |
| 1811212475 | Karandev S Rai | Psychiatry & Neurology | 4234 Riverwalk Pkwy, Suite 280, Riverside, CA 92505-8510 | 2010-04-07 |
| 1851542625 | Babar Iqbal Md Inc | Specialist | 4234 Riverwalk Pkwy, Riverside, CA 92505-3304 | 2008-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073788642 | Babak Aminpour Dds, Inc | Clinic/Center | 3733 Arlington Ave, Riverside, CA 92506-2650 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931408 | Joseph A. Geleris | Clinic/Center | 132 N Vermont Ave, Glendora, CA 91741-5315 | 2020-10-27 |
| 1619524428 | Eliza Berris Dds, Inc. | Clinic/Center | 19851 Yorba Linda Blvd Ste 201-202, Yorba Linda, CA 92886-2864 | 2019-08-26 |
| 1497309306 | Acevedo Dental Corp | Clinic/Center | 1857 E 4th St, Ontario, CA 91764-2601 | 2019-07-29 |
| 1457911992 | Salina Mahgerefteh Dds Inc | Clinic/Center | 853 Warner Ave, Los Angeles, CA 90024-3327 | 2019-06-17 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1073082079 | Ucsf Dental Oncology | Clinic/Center | 513 Parnassus Avenue, Room S741, San Francisco, CA 94143-2205 | 2018-11-19 |
| 1033696406 | Daniel E Niemann Dds Dental Corporation | Clinic/Center | 2050 Huntington Dr Ste B, South Pasadena, CA 91030-4900 | 2018-07-27 |
| 1104318013 | Louis Gallia Md Medical Corp | Clinic/Center | 87 Scripps Dr #112, Sacramento, CA 95825 | 2018-06-06 |
| 1134624638 | Diem Cao Dds Inc | Clinic/Center | 8813 Alondra Blvd, Paramount, CA 90723-4603 | 2018-03-27 |
| 1013305689 | Mason Y. Lee, Dds, A Professional Corp | Clinic/Center | 750 Las Gallinas Ave Ste 207, San Rafael, CA 94903-3432 | 2015-01-05 |
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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.