RIVERSIDE IMAGING LLC (NPI# 1124206941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124206941 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE IMAGING LLC |
| Other Organization Name | COMPUTERIZED DIAGNOSTIC IMAGING CENTERS RIVERSIDE |
| Practice Address |
4000 14th St Suite 109 Riverside CA 92501-4083 |
| Practice Telephone | 9512767500 |
| Practice Fax Number | 9512767543 |
| Mailing Telephone | 9512767500 |
| Mailing Fax Number | 9512767543 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | LAVELLE R HARDIN (CREDENTIALING ANAYLEST) |
| Authorized Official Telephone | 6153448203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Computerized Diagnostic Imaging Centers Riverside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818459 | Riverside Imaging LLC | Clinic/Center | 4000 14th St, Suite 109, Riverside, CA 92501-4083 | 2005-08-22 |
| Street Address |
4000 14TH ST SUITE 109 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620411 | James Alvin Bartley | Medical Genetics | 4000 14th St, Suite # 310, Riverside, CA 92501-4083 | 2005-06-22 |
| 1205181757 | Orange Psychiatric Medical Group, Inc | Counselor | 4000 14th St, Suite 310a, Riverside, CA 92501-4018 | 2012-07-20 |
| 1811124217 | Ronald Lo Md Inc | Specialist | 4000 14th St, Ste 209, Riverside, CA 92501-4083 | 2009-06-12 |
| 1447441738 | Computerized Diagnostic Imaging Center | Specialist | 4000 14th St, Suite #109, Riverside, CA 92501-4083 | 2007-08-05 |
| 1285834200 | Andrew Ho, M.d., Inc. | Internal Medicine | 4000 14th St, Suite 412, Riverside, CA 92501-4083 | 2007-07-18 |
| 1679777940 | Joseph G Hubbard Md Inc | Specialist | 4000 14th St, Ste 302, Riverside, CA 92501-4083 | 2007-06-12 |
| 1639373913 | Lawrence E Clark Md Inc | Specialist | 4000 14th St, Ste 302, Riverside, CA 92501-4083 | 2007-06-12 |
| 1477689024 | Riverside Neurosurgical Associates | Specialist | 4000 14th St, 302, Riverside, CA 92501-4083 | 2007-02-26 |
| 1568502425 | Hilario Astudillo Marilao | Specialist | 4000 14th St, Ste. 211, Riverside, CA 92501-4083 | 2007-02-07 |
| 1982752895 | Juanita Wielenga | Advanced Practice Midwife | 4000 14th St, Suite #314, Riverside, CA 92501-4083 | 2007-01-08 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348036 | Good Shepherd Healthcare LLC | Radiology | 9395 Magnolia Ave, Riverside, CA 92503-3747 | 2018-12-24 |
| 1982028486 | Riverside Radiology Medical Group, Inc. | Radiology | 1660 Chicago Ave, Suite # M-9, Riverside, CA 92507-2068 | 2014-02-05 |
| 1295057115 | 3dr Imaging Services, LLC | Radiology | 3211 Van Buren Blvd, Riverside, CA 92503-5640 | 2010-02-19 |
| 1922121979 | Glendale Diagnostic Imaging Network Medical Office | Radiology | 9496 Magnolia Ave Ste 101, Riverside, CA 92503-3733 | 2007-04-06 |
| 1366503799 | Tristan Molina Gale | Radiology | 170 Iowa Ave Suite 280, Riverside, CA 92507-7777 | 2006-12-12 |
| 1699844613 | Riverside Radiology Medical Group Inc | Radiology | 4000 14th Street, Suite 109, Riverside, CA 92501-4083 | 2006-11-06 |
| 1003999103 | Danh Tien Nguyen | Radiology | 4334 Central Ave, Riverside, CA 92506-2918 | 2006-10-23 |
| 1053345926 | Nikhil C Patel | Radiology | 4361 Latham St, Riverside, CA 92501-1730 | 2006-07-10 |
| 1194703819 | Kathryn Occhipinti | Radiology | 1770 Iowa Ave, Riverside, CA 92507-2430 | 2006-01-03 |
| 1801897731 | Donald R Massee | Radiology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2005-08-02 |
| Find all providers in RIVERSIDE | ||||
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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.