MRS. MEGG U SOFESO (NPI# 1134629629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134629629 |
| Entity Type | Individual |
| Full Name | MRS. MEGG U SOFESO |
| Credential | FNP |
| Practice Address |
4310 Orange St Riverside CA 92501-3829 |
| Practice Telephone | 9517816335 |
| Practice Fax Number | 9517816335 |
| Mailing Telephone | 9517816335 |
| Mailing Fax Number | 9512280052 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 785560 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95008227 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE - RN | 785560 | 01 |
| CA | CA DRIVERS LICENSE | D1916442 | 01 |
| CA | NURSE PRACTITIONER FURNISHING LICENSE | 95008227 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4244 Riverwalk Pkwy Ste 150, Riverside, CA 925053373 | 9517816335 | 9517816365 |
| Street Address |
4310 ORANGE ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790713394 | Riverside Family Physicians, A Professional Medical Corporation | Family Medicine | 4310 Orange St, Riverside, CA 92501-3829 | 2006-06-30 |
| 1811310287 | Sabrina Yap Garrovillas | Registered Nurse | 4310 Orange St, Riverside, CA 92501-3829 | 2014-01-21 |
| 1013353549 | Cielito Blanco Capistrano | Nurse Practitioner | 4310 Orange St, Riverside, CA 92501-3829 | 2013-05-10 |
| 1164791265 | Stela Georgieva Kostova-abadjieva | Internal Medicine | 4310 Orange St, Riverside, CA 92501-3829 | 2011-12-19 |
| 1740576388 | Farah Almudhafar | Family Medicine | 4310 Orange St, Riverside, CA 92501-3829 | 2011-06-22 |
| 1255649653 | Riverside Family Physicians | Non-Pharmacy Dispensing Site | 4310 Orange St, Riverside, CA 92501-3829 | 2010-09-20 |
| 1619136561 | George T. Ricks | Family Medicine | 4310 Orange St, Riverside, CA 92501-3829 | 2008-06-05 |
| 1134304447 | Palliative Partners, Inc | General Practice | 4310 Orange St, Riverside, CA 92501-3829 | 2008-01-04 |
| 1265569743 | Clarisa Yos | Nurse Practitioner | 4310 Orange St, Riverside, CA 92501-3829 | 2007-02-28 |
| 1932139615 | Maryam Samadi-soltani | Pediatrics | 4310 Orange St, Riverside, CA 92501-3829 | 2006-07-05 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425145 | Alpha Shanika Gonzalez | Nurse Practitioner | 5750 Division St Ste 204, Riverside, CA 92506-3260 | 2020-04-08 |
| 1184264517 | Michael Josiah | Nurse Practitioner | 16254 Bridgton Cir, Riverside, CA 92503-5978 | 2020-01-14 |
| 1346885738 | Rose Jionna Newton | Nurse Practitioner | 750 Via Pueblo Apt 201, Riverside, CA 92507-6376 | 2019-11-09 |
| 1952957375 | April Blum | Nurse Practitioner | 14200 Meridian Parkway, # 101, Riverside, CA 92518 | 2019-08-12 |
| 1487209326 | Glecy Kristine Tan Lua | Nurse Practitioner | 7992 Wood Rd, Riverside, CA 92508-6605 | 2019-08-07 |
| 1386119725 | Eugene Santos | Nurse Practitioner | 3600 Lime St Ste 516, Riverside, CA 92501-0944 | 2018-10-12 |
| 1407356918 | Reyna Acela Reynaga-vargas | Nurse Practitioner | 5430 Arlington Ave # Na, Riverside, CA 92504-2505 | 2018-02-20 |
| 1174021646 | Mary Anne Brown | Nurse Practitioner | 10895 Magnolia Ave, Riverside, CA 92505-3057 | 2018-01-30 |
| 1295249167 | Emily Fernandez | Nurse Practitioner | 9444 Alta Cresta Ave, Riverside, CA 92508-8032 | 2017-11-29 |
| 1124538152 | Clara Nnadi | Nurse Practitioner | 18445 Pinecone Ln, Riverside, CA 92504-9420 | 2017-10-04 |
| 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.