CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION


Address: 3211 Van Buren Blvd Ste B, Riverside, CA 92503-5640
Phone: 9512866036

CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION (NPI# 1144525775) 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) 1144525775
Entity Type Organization
Organization Name CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
Practice Address 3211 Van Buren Blvd Ste B
Riverside
CA 92503-5640
Mailing Address 2980 N Beverly Glen Cir
Ste 100
Los Angeles
CA 90077-1726
Practice Telephone 9512866036
Mailing Telephone 3104749809
Mailing Fax Number 8884318819
Enumeration Date 2011-01-12
Last Update Date 2015-10-05
Authorized Official Name HERBERT MARSHAK (MEDICAL DIRECTOR)
Authorized Official Telephone 9512866036
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639460066 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 1902 Royalty Dr, Ste 290, Pomona, CA 91767-3030 2011-04-19
1386935716 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 1206 E 17th St, Ste 106, Santa Ana, CA 92701-2641 2011-04-19
1417248840 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 8121 Van Nuys Blvd, Ste 316, Panorama City, CA 91402-5105 2011-04-19
1871884205 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 1711 W Temple St, Ste 4100, Los Angeles, CA 90026-5421 2011-04-19
1164713590 Champion Medical Group, A Medical Corporation Non-Pharmacy Dispensing Site 2777 Pacific Ave, Ste K, Long Beach, CA 90806-2625 2011-04-19

Office Location

Street Address 3211 VAN BUREN BLVD STE B
City RIVERSIDE
State CA
Zip Code 92503-5640

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1053893271 Tsibel Dental Practice Inc. Dentist 10181 Magnolia Ave, Riverside, CA 92503 2018-09-04
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184001661 Joseph M Molina Md Professional Corporation Southern California Non-Pharmacy Dispensing Site 5549 Van Buren Blvd, Riverside, CA 92503-2068 2015-05-04
1326443201 Neighborhood Health Systems Non-Pharmacy Dispensing Site 3660 Park Sierra Dr, Suite 110, Riverside, CA 92505-3081 2014-11-04
1518371624 Arj Medical, Inc. Non-Pharmacy Dispensing Site 3404 Arlington Ave, Riverside, CA 92506-3253 2014-06-17
1053725218 One Stop Multi-specialty Medical Group & Therapy, Inc. Non-Pharmacy Dispensing Site 5870 Arlington Ave, Suite 101, Riverside, CA 92504-2037 2014-06-16
1881008217 Arj Medical, Inc. Non-Pharmacy Dispensing Site 6927 Brockton Ave, Suite 1a, Riverside, CA 92506-3805 2014-06-13
1679848022 Stuart L Zubrick Marriage Family and Child Counseling, A Prof Corp Non-Pharmacy Dispensing Site 9041 Magnolia Ave, Ste 201, Riverside, CA 92503-3900 2012-03-19
1255649653 Riverside Family Physicians Non-Pharmacy Dispensing Site 4310 Orange St, Riverside, CA 92501-3829 2010-09-20
1407163942 Riverside Family Physicians Non-Pharmacy Dispensing Site 3975 Jackson St, 301, Riverside, CA 92503-3901 2010-09-03
1215243290 Center for Better Health, A Medical Group, Inc. Non-Pharmacy Dispensing Site 4354 Latham St Ste 100, Riverside, CA 92501-1777 2010-08-27
1942442157 Mark D, Allison, Md, A Professional Company Non-Pharmacy Dispensing Site 4100 Central Ave, 106, Riverside, CA 92506-2933 2009-04-02
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Competitor

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City RIVERSIDE
Zip Code 92503

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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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