FAHEEM M. JUKAKU (NPI# 1518072230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518072230 |
| Entity Type | Individual |
| Full Name | FAHEEM M. JUKAKU |
| Credential | MD |
| Practice Address |
7140 Indiana Ave Riverside CA 92504-4544 |
| Mailing Address |
2100 Powell St Suite 900 Emeryville CA 94608-1826 |
| Practice Telephone | 9513586035 |
| Mailing Telephone | 5103502777 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A72490 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7140 INDIANA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892542 | Nancy Lynn Hosek | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2005-06-27 |
| 1376053413 | Catherine Nkechi Ajala-staats | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2017-10-03 |
| 1144760893 | Dan Jin Lau | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2017-02-28 |
| 1518318625 | Kyi Myint | Internal Medicine | 7140 Indiana Ave, Riverside, CA 92504 | 2016-06-29 |
| 1003261454 | Jacqueline S Ashley | Social Worker | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2016-05-03 |
| 1598155244 | Riverside Neighborhood Health Center | Clinic/Center | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2015-02-03 |
| 1528483708 | Vilayphone Kao Tran | Marriage & Family Therapist | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2014-02-25 |
| 1578882569 | Ashaunta Tumblin Anderson | Pediatrics | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2010-05-31 |
| 1962637215 | Katia Rosario Alfaro Felix | Family Medicine | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2009-05-15 |
| 1710124904 | Nominado Siazon Apostol Jr. | Pharmacist | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2009-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1669848222 | Desiree Ann Pasillas | Emergency Medicine | 3257 Pontiac Ave, Riverside, CA 92509-4430 | 2015-08-18 |
| 1982997250 | Daniel Ng | Emergency Medicine | 4445 Magnolia Ave Dept Of, Riverside, CA 92501-4135 | 2011-05-19 |
| 1710202924 | Jared J Marcucci | Emergency Medicine | 399 Blythe Rd, Riverside, IL 60546-1703 | 2010-03-30 |
| 1548448970 | Roberta Jean Dunn-dixon | Emergency Medicine | 4443 Magnolia Ave, Emergency Department, Riverside, CA 92501 | 2008-02-07 |
| 1124057757 | Horace Charles Stevens | Emergency Medicine | 4581 Luther St, Riverside, CA 92504-2231 | 2006-07-03 |
| 1083612824 | Ernest Woodhouse | Emergency Medicine | 4440 Magnolia Ave., Riverside, CA 92501 | 2005-07-13 |
| 1396249793 | Ashkan Morim | Emergency Medicine | 4445 Magnolia Ave, Riverside, CA 92501 | 2018-03-20 |
| 1417488792 | Rebecca C. Bishop | Emergency Medicine | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2017-03-27 |
| 1033640073 | John Christian Canet Costumbrado | Emergency Medicine | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2017-03-22 |
| 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.