GEORGES ABOU RJAILI (NPI# 1073896544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073896544 |
| Entity Type | Individual |
| Full Name | GEORGES ABOU RJAILI |
| Credential | MD |
| Practice Address |
4500 Brockton Ave Ste 203 Riverside CA 92501-4090 |
| Practice Telephone | 9516863600 |
| Practice Fax Number | 9516861162 |
| Mailing Telephone | 9516863600 |
| Mailing Fax Number | 9516861162 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2016-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A140214 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
48951 | TN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
7309604 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NPI | 1629016399 | 01 |
| Street Address |
4500 BROCKTON AVE STE 203 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770974 | Jan Paul Maddox | Pain Medicine | 4500 Brockton Ave, Ste 305, Riverside, CA 92501-4028 | 2005-06-14 |
| 1831656578 | Lucyana Magrietta Panjaitan | Nurse Practitioner | 4500 Brockton Ave, Riverside, CA 92501-4090 | 2019-02-28 |
| 1518401546 | Faculty Physicians and Surgeons of Llusm | Physician Assistant | 4500 Brockton Ave, Ste 201, Riverside, CA 92501-4090 | 2016-12-09 |
| 1396108940 | Thaker Urological Center, Inc. | Specialist | 4500 Brockton Ave, Suite 204, Riverside, CA 92501-4090 | 2016-03-31 |
| 1063874337 | Mission Urology, Inc. | Internal Medicine | 4500 Brockton Ave, Suite 301, Riverside, CA 92501-4027 | 2016-03-24 |
| 1558759969 | Mid-valley Surgicenter Inc | Clinic/Center | 4500 Brockton Ave, Suite 105, Riverside, CA 92501-4090 | 2015-01-07 |
| 1306254669 | Jocelyn Cases | Nurse Practitioner | 4500 Brockton Ave, Suite 315, Riverside, CA 92501-4090 | 2014-07-30 |
| 1841530169 | Jennifer Lynn Gilden | Physician Assistant | 4500 Brockton Ave, Riverside, CA 92501-4090 | 2013-02-22 |
| 1275881609 | Sri Gorty M.d. Inc | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-15 |
| 1780931709 | Munther Alqaisi M.d. A Professional Medical Corporation | Radiology | 4500 Brockton Ave, 101, Riverside, CA 92501-4090 | 2012-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558414953 | Blackstone Medical Corporation | Internal Medicine | 4500 Brockton Ave Ste 305, Riverside, CA 92501-4027 | 2007-01-19 |
| 1518970755 | Mimi Sen Biswas | Internal Medicine | 3975 Jackson St Ste 309, Riverside, CA 92503-3951 | 2006-08-15 |
| 1720021397 | Jatin N. Amin | Internal Medicine | 3770 Elizabeth St, Riverside, CA 92506-2527 | 2006-06-13 |
| 1619918943 | Syed W Bokhari | Internal Medicine | 4646 Brockton Ave Ste 301, Riverside, CA 92506-0103 | 2006-06-09 |
| 1770524290 | Ramdas G. Pai | Internal Medicine | 3390 University Ave Ste 100, Riverside, CA 92501-3315 | 2006-06-08 |
| 1124331012 | Sandeep Chandu Sangodkar | Internal Medicine | 3770 Elizabeth St, Riverside, CA 92506-2527 | 2010-07-20 |
| 1639490824 | Nirav D Joshi | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2010-06-22 |
| 1255561726 | Matei Popa-radu | Internal Medicine | 4646 Brockton Ave Ste 301, Riverside, CA 92506 | 2009-07-19 |
| 1306030242 | Christopher Byerrum Seaman | Internal Medicine | 3770 Elizabeth St, Riverside, CA 92506-2527 | 2007-09-04 |
| 1285834200 | Andrew Ho, M.d., Inc. | Internal Medicine | 4000 14th St, Suite 412, Riverside, CA 92501-4083 | 2007-07-18 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on GEORGES ABOU RJAILI.
| 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.