DR. RAY ROGERS GLENDRANGE (NPI# 1164484507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164484507 |
| Entity Type | Individual |
| Full Name | DR. RAY ROGERS GLENDRANGE |
| Credential | M.D. |
| Practice Address |
4605 Brockton Ave Suite 100 Riverside CA 92506-0106 |
| Practice Telephone | 9516864911 |
| Mailing Telephone | 9516864911 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G61038 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G610380 | 05 |
| Street Address |
4605 BROCKTON AVE SUITE 100 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-0106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356745749 | Aileen Barragan | Physician Assistant | 4605 Brockton Ave, Ste 200, Riverside, CA 92506-0106 | 2014-10-15 |
| 1609992940 | Nicole-nincho Phu Ha | Optometrist | 4605 Brockton Ave, Suite 100, Riverside, CA 92506-0106 | 2007-03-21 |
| 1316010499 | Riverside Plastic Surgery Associates Inc. | Specialist | 4605 Brockton Ave, Suite 200, Riverside, CA 92506-0106 | 2006-11-16 |
| 1932287471 | Ben J. Childers | Specialist | 4605 Brockton Ave, Suite 200, Riverside, CA 92506-0106 | 2006-11-01 |
| 1740242627 | John J Allavie | Ophthalmology | 4605 Brockton Ave, Suite 100, Riverside, CA 92506-0107 | 2006-04-05 |
| 1508828963 | Riverside Eye Specialists Medical Group Inc. | Ophthalmology | 4605 Brockton Ave, Suite 100, Riverside, CA 92506-0106 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184086639 | Saba Nawazish | Ophthalmology | 6906 Brockton Ave Ste 6, Riverside, CA 92506-3802 | 2016-03-23 |
| 1992076517 | Sonia B Dhoot | Ophthalmology | 9041 Magnolia Ave Ste 207, Riverside, CA 92503-3956 | 2012-01-13 |
| 1245386499 | David R. Mcgrew, M.d., Inc. | Ophthalmology | 6377 Riverside Ave Ste 170, Riverside, CA 92506-3155 | 2007-01-28 |
| 1841387826 | Brian Paul Igoe | Ophthalmology | 347 E Burlington St, Riverside, IL 60546-2149 | 2006-10-09 |
| 1982610259 | Doheny Eye Medical Group, Inc | Ophthalmology | 4440 Brockton Ave Ste 330, Riverside, CA 92501 | 2006-07-31 |
| 1053337956 | David Richard Mcgrew | Ophthalmology | 6377 Riverside Ave, Suite 170, Riverside, CA 92506-3124 | 2006-07-14 |
| 1992768345 | Francisco J. Pabalan | Ophthalmology | 6900 Brockton Ave, 203, Riverside, CA 92506-3819 | 2006-04-07 |
| 1609845569 | Ahmed Abdelsalam | Ophthalmology | 3722 S Harlem Ave, Ste Ll10, Riverside, IL 60546 | 2006-03-14 |
| 1124260880 | Babak Roobini | Ophthalmology | 10800 Magnolia Ave, Mob 2 - 5th Floor Ophthalmology, Riverside, CA 92505-3043 | 2009-03-27 |
| 1033361886 | Faculty Physicians and Surgeons of Llusm | Ophthalmology | 4244 Riverwalk Pkwy, Ste 100, Riverside, CA 92505-3372 | 2008-10-10 |
| 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.