DR. LISA HERRING SOVORY (NPI# 1306843677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306843677 |
| Entity Type | Individual |
| Full Name | DR. LISA HERRING SOVORY |
| Other Name | DR. LISA MONIQUE HERRING |
| Credential | M.D. |
| Practice Address |
6086 Brockton Ave Suite 1 Riverside CA 92506-2227 |
| Mailing Address |
6185 Magnolia Ave Suite 354 Riverside CA 92506-2524 |
| Practice Telephone | 9513350193 |
| Practice Fax Number | 9513350194 |
| Mailing Telephone | 9513350193 |
| Mailing Fax Number | 9513350194 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A80037 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4684306 | 05 |
| Street Address |
6086 BROCKTON AVE SUITE 1 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326534363 | Tracie Radford | Prosthetist | 6086 Brockton Ave, Riverside, CA 92506-2227 | 2018-07-02 |
| 1386983369 | S'napse Inc. | Psychiatry & Neurology | 6086 Brockton Ave, Suite 1, Riverside, CA 92506-2227 | 2013-02-11 |
| 1154531267 | Alexander Yoo-ahng Koh | Dentist | 6086 Brockton Ave, Suite 5, Riverside, CA 92506-2203 | 2007-05-23 |
| 1356452379 | Michael B Smith | Dentist | 6086 Brockton Ave, Suite No. 2, Riverside, CA 92506-2203 | 2006-08-31 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295114197 | Bhavesh Vasant Trikamji | Psychiatry & Neurology | Ucr Health, 3390 University Avenue, Ste 100, Riverside, CA 92501 | 2015-05-26 |
| 1891103735 | Dhrupad Joshi | Psychiatry & Neurology | 6833 Indiana Ave Ste 101, Riverside, CA 92506-4223 | 2014-07-23 |
| 1154647014 | Ricardo Olivo | Psychiatry & Neurology | 7117 Brockton Ave Ofc Cp 21005, Riverside, CA 92506-2658 | 2010-04-15 |
| 1851509244 | Carol Vanpetten | Psychiatry & Neurology | Dept Neurology Kaiser Permanente, 10800 Magnolia Ave, Riverside, CA 92505 | 2007-05-18 |
| 1992322291 | We-care Neurology Inc | Psychiatry & Neurology | 6833 Indiana Ave Ste 101, Riverside, CA 92506-4223 | 2020-07-02 |
| 1801386149 | Gina Habeeb | Psychiatry & Neurology | 7172 Magnolia Ave, Riverside, CA 92504-3804 | 2018-05-11 |
| 1245761451 | Cep America - Neurology PC | Psychiatry & Neurology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2017-03-21 |
| 1679921316 | Mark M Girgis | Psychiatry & Neurology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2016-06-02 |
| 1669882130 | Sylvia Soo | Psychiatry & Neurology | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2014-05-05 |
| 1740600014 | Mithlesh Prakash | Psychiatry & Neurology | 3975 Jackson Street, Suite 105, Riverside, CA 92503 | 2014-04-24 |
| 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.