PRECISE TELEHEALTH OF CALIFORNIA, A PROFESSIONAL CORPORATION (NPI# 1205332343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205332343 |
Entity Type | Organization |
Organization Name | PRECISE TELEHEALTH OF CALIFORNIA, A PROFESSIONAL CORPORATION |
Practice Address |
4482 Main Street Primary Location Riverside CA 92501-4144 |
Mailing Address |
22 W Padonia Rd Ste C241 Timonium MD 21093-2237 |
Practice Telephone | 4108620820 |
Practice Fax Number | 8848286164 |
Mailing Telephone | 4108620820 |
Mailing Fax Number | 8448286164 |
Enumeration Date | 2018-04-05 |
Last Update Date | 2019-07-03 |
Authorized Official Name | MICHAEL KEROUAC (CEO) |
Authorized Official Telephone | 4107799278 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | G88479 | CA | Allopathic & Osteopathic Physicians |
Street Address |
4482 MAIN STREET PRIMARY LOCATION |
City | RIVERSIDE |
State | CA |
Zip Code | 92501-4144 |
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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063999431 | Rogelio Drenning-manrriquez | General Practice | 6485 Day St Ste 201, Riverside, CA 92507-0926 | 2018-07-27 |
1922314947 | J Watts Office Inc | General Practice | 4000 Fourteenth St., 213, Riverside, CA 92501 | 2010-08-27 |
1912237686 | Ralph Patrick Miech | General Practice | 50 Woodcrest Dr, Riverside, RI 02915-1819 | 2010-01-02 |
1205096153 | Sheila Steiner | General Practice | 27 Carousel Drive, Riverside, RI 02915 | 2008-06-13 |
1316924582 | Betina Gideon-greer | General Practice | 4646 Brockton Ave Ste 202, Riverside, CA 92506-0104 | 2005-12-28 |
1518462407 | Samuel Jacob Magny | General Practice | 4445 Magnolia Ave, Riverside, CA 92501-4199 | 2018-03-24 |
1013469683 | David Lee | General Practice | 7164 Magnolia Ave, Riverside, CA 92504-3804 | 2016-10-31 |
1306395587 | Aligned Community Physicians | General Practice | 9041 Magnolia Ave, Suite 008, Riverside, CA 92503-3900 | 2016-09-28 |
1881142545 | Clinica Medica Eco | General Practice | 4900 Arlington Ave, Riverside, CA 92504-2780 | 2016-09-12 |
1174981906 | Jacknolia Urgent Care | General Practice | 9041 Magnolia Ave, Suite 107, Riverside, CA 92503-3900 | 2016-02-08 |
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.